CCSVI and CCVBP

[wallace]

Season Greetings everyone!

Upright doc if I remember correctly you trained in Chiropractic Neurology. Do you have a high opinion of these Chiropractors? I found one in Paris, Francehttp://www.paris-chiropratique.com/index_English.html Thanks

[uprightdoc]

Regardless of whether is the jugular or vertebral veins, it's all about craniospinal hydrodynamics (hydraulics) in the cranial vault and spinal canal. You can't ignore the physics that are involved.

We had a nice Christmas. I cooked roast beef with garlic roast potatoes and onions in my unglazed Romertopf clay pot. For dessert we had ice cream on top of Dutch Apple Cake.

In addition to Corsendonk Christmas Ale what do the Dutch like to serve for dinner on Christmas?

[NZer1]

Thanks Robert. It's an excellent paper.

While the paper discusses the role of the bridging veins in adults with NPH it doesn't discuss hydrocephalus in children. Hydrocephalus in children is typically attributed to stenosis of the cerebral aqueduct between the third and fourth ventricle. Some authors now maintain that the stenosis is due to decreased venous flow that causes a decrease in CSF and interstitial fluid flow resulting in compression of the cerebral aqueduct by surrounding fluid pressures. In this regard, the cerebral aqueduct passes through the midbrain which is surrounded by the interpeducular and superior cerebellar cisterns. I proposed my theory of the cisterns compressing and damaging nearby structures close to thirty years ago. The paper also falls short in its coverage of the vertebral veins. While it mentions CCSVI, it doesn't mention much about CCSVP caused by malformations and misalignments of the craniocervical junction. Malformations and misalignments of the craniocervical junction and spondylosis, stenosis and scoliosis cause compression of the epidural veins of the spinal canal and cord. The epidural veins are the homologue of the bridging veins in the cranium. Compression of the epidural veins of the spinal canal can likewise affect venous and CSF pressure gradients and flow in the cranial vault and brain.

I connect all the dots and cover craniospinal hydrodynamics from head to foot in children and adults in my next book. Everyone else in thirty years behind.

These observations are definitely progress towards connecting the dots between on one side of the page the physical action and on the other side the symptomatic expression.

This is where Science and Research will find the answers of cause and effect . The most amazing knowledge will come from 'why' an individual would have this Life experience and what the individual will learn from the experience, the BodyMind connection. ;)

Not sure how long I will live for though! ;)

Patience ....................... who said that!

Chop wood, carry water ................. same again tomorrow ....................


Nigel

[Robnl]

In addition to Corsendonk Christmas Ale what do the Dutch like to serve for dinner on Christmas?

Hi doc,

Well,for drinking; beer, wine, soda etc

Day 1 eating;
- toast beef
- pork
- green beans
- caulflower
- cooked potatoes
- icecream as desser

Day 2;
- raclette, very populair

[uprightdoc]

Thank Robert,

The raclette sounds like something fun to serve in our tavern for special parties. My sister-in-law is Chinese. I was also considering Mogolian Hot Pot. Meats, vegetables, dumpling etc. are likewise cooked at the table. It's a nice way to socialize and mangia mangia.

Take some probiotics to help break down the cheese and some mints to soothe the agida. You should recover in plenty of time for New Year's Eve.

[mystery1980]

Hello Dr. Flanagan,

I'm busy with the e-mail for the German Doctor.
And I was wondering if you could see the tears on a mRI?

I ask it because when I have the car accident, the make X-ray images and they said to my father they saw a little crack in the skull and the call and wake up the head of the team to look and he said "oh it was nothing, just a concussion".

And I'm just curious do you think that my complaints are
a) psychological?
b) that after the surgery that it can get much better with me?

Kind regards,

Francis

[uprightdoc]

Hello Francis,

A good MRI that focuses on the muscles and connective tissues will definitely shows tears and a good radiologist will be able to see them.

The crack in the skull may be significant but I do not think it was caused by the car accident. There is a good possibility that it was caused by the scooter accident. I also think that the scooter accident caused the disc/bone fragment at T4/5.

Your complaints are NOT psychological. You were born with a syrinx. The fourth ventricle drains through four openings. There are two openings on the sides of the fourth ventricle called the foramen of Lushka and one in the middle called the foramen of Magendie. The fourth opening is the central canal located in the floor of the fourth ventricle called the obex. The syrinx formed in utero most likely due to insufficient drainage of the fourth ventricle due to small (hypoplastic) foramen. The central canal is larger in your case because it is needed to drain the fourth ventricle. Trauma to your upper cervical spine is restricting CSF flow between the cranial vault and spinal canal forcing it to be diverted into the central canal. The diversion of CSF into the central canal is causing the syrinx to enlarge.

I cannot say how much you will improve after surgery because I do not know what the findings are from your physical exam. I suspect that most of your symptoms are due to the Chiari and syrinx not the T4/5 disc/bone fragment. The T4/5 problem is definitely not the cause of your upper extremity or cerebral complaints. It may be the cause of some of your lower body complaints. If it is the cause of your lower body complaints I would expect to see certain orthopedic and neurological signs.

[mystery1980]

Thank you for your answer Dr. Flanagan!

The e-mail is on his way to the German doctor.
If I have an answer on it, I let it now.

Now at this time I have 2 more questions for you:

I have Gabapentine and Carbamazepine for neuralgia and a while ago I had a SSEP and MEP research ( at that time I had only Gabapentine for neuralgia ) and the results are good, is this possible because I used the medication?

On the mRI before I had more "small white leasions" in my brain and now almost none, how is this possible?

Kind regards,

Francis

[uprightdoc]

You are welcome Francis.

The good results of the SSEP and MEP are a good sign that you receive and conduct nerves signal properly. You probably do not have compression of the spinal cord at T4/5. The good test results were not due to the medication.

White lesions are a sign of possible inflammation, edema or scarring. Inflammation and edema can improve and disappear. Scar tissue is permanent. The degree of white appearance is determined by the content of water in the tissue. All water, such as CSF and interstitial fluids, are the most white (bright). Inflammation produces heat that dries up water in tissues. The dried tissues have less water and appear less white. Scar tissues similarly lose water over time and appear less white. It takes a good MRI scanner and a good radiologist to determine the difference.

[mystery1980]

Thanks,

Maby if I found the old mRI images I can show you better what I mean, if you want to see them?

And thats a good sign, but how can I feel the neuralgia then?

Kind regards,

Francis

[uprightdoc]

If you find the images I will take a look at them but the lesions (white spots) are not as important as the possible Chiari and injury to the upper cervical spine that are most likely causing the symptoms and expansion of the syrinx.

It is a good sign because it shows that the nervous system is working properly. Pain is normal. The absence of pain is not. Pain comes from many sources. It can be caused by pinching your skin. It can also be caused by irritated muscles, joints and connective tissues. The pain in your head can be a pressure headache due to the Chiari or it could be a cervicogenic headache due to irritation and inflammation of the muscles, joints and connective tissues in the upper cervical spine. You need a good orthopedic and neurological exam to determine the source of the pain.

[uprightdoc]

Season Greetings everyone!

Upright doc if I remember correctly you trained in Chiropractic Neurology. Do you have a high opinion of these Chiropractors? I found one in Paris, Francehttp://www.paris-chiropratique.com/index_English.html Thanks

Hello Wallace,

Seasons greetings to you as well. I apologize for missing your post and question. I did train in neurology. I was not able to open the link. Please resend the link and I will review and give you my opinion of the chiropractors you found France.

[Robnl]

Season Greetings everyone!

Upright doc if I remember correctly you trained in Chiropractic Neurology. Do you have a high opinion of these Chiropractors? I found one in Paris, Francehttp://www.paris-chiropratique.com/index_English.html Thanks

Hello Wallace,

Seasons greetings to you as well. I apologize for missing your post and question. I did train in neurology. I was not able to open the link. Please resend the link and I will review and give you my opinion of the chiropractors you found France.

Hi doc,

Its http://www.paris-chiropratique.com/index_English.html
The word france sticked to http

Robert

[uprightdoc]

Thanks Robert for fixing the French Connection. The link worked. I am heading over to Paris now to see what's up.

[Robnl]

Thanks Robert for fixing the French Connection. The link worked. I am heading over to Paris now to see what's up.

You computer-geek you..