drsclafani wrote:do you have any data on the incidence of ms in patients with scoliosis and other spinal malalignments?
I have done a cursory retrospective analysis of 25 MS patients who contacted me through this website. Approximately 1/3 of them have significant curvature problems. Another third have history of serious trauma that resulted in measurable misalignments.
CurIous posted his pictures for all to see. He clearly has kyphoscoliosis. Fernando posted his full spine x-ray. He has scoliosis. His symptoms were helped by a heel lift prescribed by his GP. Costumenational posted his upper cervical x-rays which shows severe misalignment of the upper cervical spine. He was in a serious motorcycle accident where he landed on the the side of his head. As I recall all three had ON. I have noticed a fairly consistent pattern of unilateral ON on the low side of the head tilt.
Studies have shown that scoliosis causes functional stenosis and venous congestion and hypertension in the VVP. The veins get compressed against the inside curve of the spine. A study from Rutgers U. further suggested that venous hypertension in the VVP was the most overlooked cause of ischemia of the cord. VVP hypertension in the cervical spine may similarly cause ischemia of the brain. Studies have linked Chiari malformations to trauma and MS, and Chiari malformations have been linked to scoliosis and tethered cord syndromes. Chiari malformations block venous and CSF flow. Functional Chiari malformations due abnormal base and axial-clival angles can likewise compress circulatory problems. Humans are predisposed to Chiari malformations and scoliosis due to upright posture.
It would be cost effective and easy to add plain view x-rays to Dr. Haake's suggested protocols and baseline studies. It could help in understanding the cause of ccsvi as well as the best method of intervention.