Dr. Eliot Frohman, professor of neurology at Southwestern University- was a moderator and participant in the CCSVI convocation. He consistently had cogent and insightful questions and comments during the day. One of his points has stayed with me, and prompted me to do some more research on cerebrospinal fluid. Dr. Frohman commented that CCSVI was reminding him of his shunting treatment of normal pressure hydrocephalus ...mainly in the fact that the third ventricle was being enlarged in both MS and NPH- Here's his comment-
I have seen this happen in “normal pressure hydrocephalus- (NPH) Where there is a loss of gait, cognitive and bladder issues and the lesions disappear because the expanded ventricle swallows the lesion. I have shunted the brains of NPH patients, and they showed remarkable improvements. Again, the enlargement of the third ventricle precedes the changes.
This I would think would be a simple case for a radiologist to determine whether the cause of ventricle enlargement is due to pressure from the CSF or brain shrinkage (does the brain look shrunken?). Especially if you have 2 MRIs separated in time. That would easily fulfill the much-discussed requirement for damage separated in both space and time. Is the apparent atrophy coming from the ventricle pressure or overall loss of volume, and how much of each?ThisIsMA wrote:If the third ventricle enlargement is due to poor cerebrospinal fluid drainage, as a result of poor venous drainage, then YES shunting could be helpful but the first step would be to correct the venous drainage, since that could correct the impaired CSF drainage and shunting would not be needed. For people whose venous drainage cannot be corrected, because of jugular hypoplasia or occluded jugular veins, then shunting might make a lot of sense.
civickiller wrote:my theory that ive had a few years ago with only a few listening is that the ventricles are enlarged because the CSF is being blocked at the c1 level so the CSF backs up in the ventricles enlarging them which is why you see majority scarring around the ventricles in your brain because the ventricle can only hold so much until it leaks out causing the scarring.
the simplest explanation tends to be the right one
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