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Forceps as a cause???

Posted: Thu Oct 22, 2009 3:19 am
by Terry
I was a forceps delivery. I'm curious. Any others delivered with the help of forceps?

Bilateral obstruction of the internal jugular veins is rare in the neonatal period and no long-term follow-up has been reported yet. We report two cases. The first developped an extensive thrombosis of superior veina cava related to a central veinous line, the second an unilateral thrombosis of the transverse-sigmoid sinus associated to a constitutional hypoplasia of the contralateral jugular vein. In the latter case, no cause or risk factor was noticeable, except for a forceps delivery. In both cases the clinical course was dominated by the development of a prominent collateral network of cervico-facial veins and by a progressive macrocrania. According to MRImaging, the latter was not related to a dilation of CSF spaces, but to a macro-encephaly, either by inflation of the vascular veinous compartment inside the parenchyma or by genuine brain's overgrowth. Long-term follow-up showed a grossly normal course, both from the neurological and the scholar point of view. However, slight neuropsychological anomalies were noticed, bringing some shade on the prognosis.

http://www.ncbi.nlm.nih.gov/pubmed/15037848

Posted: Thu Oct 22, 2009 6:48 am
by Sharon
Terry -

We are so early into the research on CCSVI. Forceps delivery - maybe --could be a factor for some.

Both of my daughters (no MS diagnosis) were tested by Dr. Dake -- the oldest daughter who was delivered with forceps showed no stenoisis (her juggulars were perfect - nice and tubular); the younger daughter who was born one month premature without forceps, had a stenosis in her right jugular vein.

One of the speakers at the Bologna meeting talked about the vascular system being formed in week 16 of pregnancy - is something happening during pregnancy? So many questions -- like Dr. Zamboni said it will take 10,000 research papers before they have all the answers to CCSVI. I would imagine there is going to be a tremendous amount of speculation -- just like you asking about a forceps delivery. That speculation is going to have to be answered by research. The preface to the CCSVI story is the only thing that has been written -- we now need to wait for Chapter One.

Sharon

Posted: Thu Oct 22, 2009 8:04 am
by mrhodes40
The preface to the CCSVI story is the only thing that has been written -- we now need to wait for Chapter One.
REALLY WELL PUT.

I was forceps. thrombosis of a jug or transverse sinus is an acute problem resulting in complete sudden blocking of the vein rather than a mere stenosis which develops over time and still allows some blood through. Jug thrombosis in adults is treated also, not ignored at all nor is it debated whether it 'is' a problem...

Posted: Thu Oct 22, 2009 1:32 pm
by Terry
Thanks Sharon and Marie. I wondered about your daughters, Sharon. Thanks for your answer. I look forward to the speculation.
Waiting for chapter 1...
Terry