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Cavo-spinal phlebography in myelopathies. Stenoses of intern

Posted: Wed Nov 10, 2010 7:24 am
by sbr487
Only abstract available ...

http://www.ncbi.nlm.nih.gov/pubmed/207127
Increased intraspinal venous pressure, resulting according to ABOULKER in numerous spastic paraplegias and quadriplegias is due to multiple venous abnormalities demonstrated by cavo-spinal phlebography. The most frequent are stenoses of the internal jugular veins, the left renal, the left iliac veins, the azygos veins and compressions of the innominate venous trunks. These abnormalities cause a permanent stasis in the intraspinal plexuses through excessive supply or insufficient drainage. Out of 80 patients, 60 per cent had at least 2 abnormalities, 38 per cent at least 3 abnormalities.

Posted: Wed Nov 10, 2010 7:31 am
by TMrox
excellent finding!

Zamboni quotes this article:

"..regarding the causative role of CCSVI in MS, our review of the literature revealed descriptions of associations between the extracranial venous obstructive malformations described herein and disabling neurological pictures however, the latter were defined by these authors generically as myelopathies, without a precise diagnosis and any mention of MS"
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2647682/

Posted: Wed Nov 10, 2010 7:51 am
by SaintLouis
What exactly is cavo-spinal phlebography?

Posted: Wed Nov 10, 2010 8:03 am
by Nunzio
This is very interesting considering it was done 34 years ago.
I already posted on Dr. Sclafani tread on Oct 27.
Nunzio wrote:
drsclafani wrote:
Nunzio wrote:

I also found a very interesting paper from 1976 that is very similar in finding to what Dr. Zamboni/Galeotti do:
Also is interesting to know that the same group performed surgery on some of those patient with good results.
Acta Radiol Suppl. 1976;347:395-401.
[Intraspinal venous hypertension due to multiple anomalies in the caval system. A major cause of myelopathies]
Aboulker J, Aubin ML, Leriche H, Guiraudon G, Ancri D, Metzger J.
Increased venous intraspinal pressure is described as a venous system disease, resulting in numerous unexplained paraplegias and tetraplegias. The chronic venous stasis in the intraspinal plexuses, into which the circulation of the spinal cord is drained, is due to the association of multiple abnormalities (stenoses, compressions, thromboses) on the major pathways of the caval and azygos system. The abnormalities, most of which are not known, are demonstrated by a special procedure, the cavo-spinal phlebography, and some of them are subjected to surgery.

Posted: Wed Nov 10, 2010 1:54 pm
by North52
Very interesting finding. I came across a similar but more recent study done in 1999.

http://www.ncbi.nlm.nih.gov/pubmed/20088446

North