http://www.medscape.com/viewarticle/765 ... ws&spon=26
Well, this could be something for the stroke management portion of ISNVD next year.
Cerebral venous sinus thrombosis is a form of stroke that affects young people and often recurs. Researchers looked at these stroke patients and at healthy controls. The healthy controls showed no evidence of jugular venous abnormalities. But in the cerebral venous sinus thrombosis stroke patients, 60% had IJV abnormalities such as annulus stenosis (!), hypoplasia (!), IJV thrombosis and anomalous valve. These are hallmarks of CCSVI.
I had stenoses of the valve in both jugulars. I suspect that not only did this put me at risk for MS, it put me at risk for cerebral venous sinus thrombosis, which thankfully I have never had. But this is one more reason to seek treatment for these jugular abnormalities, and perhaps these stroke patients are patients in whom CCSVI can be researched without all the controversy. The researcher states that further research is needed to see if intervention (which would be jugular venoplasty) would have an effect on the recurrence of cerebral venous sinus thrombosis and long term outcomes of these patients. There is logic to why jugular abnormalities could contribute to cerebral venous sinus thrombosis, if they lead to reduced perfusion and slowed draining of the cerebral sinuses, which then creates conditions in which a clot could form. And there is logic to the possibility that treating the jugular abnormalities will lead to more rapid flow through the venous sinuses that drain into the jugulars, culminating in a reduced rate of recurrence of cerebral venous sinus thrombosis.