CCSVI and CCVBP

[uprightdoc]

Nigel,
It's nice to hear that spring is springin and the blessed weeds are thriving.

The renovation and bed filling are going well. We should have the restaurant open for Thanksgiving.

[NZer1]

Fantastic when things come together, except when everything starts to flow one thinks, 'right what's next'!

[uprightdoc]

Rafael has had some success with treating amyotrophic lateral sclerosis. The following is from the paper above in the section on amyotrophic lateral sclerosis.

During surgery we made important observations: 1) anatomical variants of the V4 segments of the vertebral arteries; 2) moderate or severe atherosclerosis in both V4 segments of the vertebral arteries; 3) several exsanguinated shorth and long circumferential arteries (decreased blood in the arterial branches that originate from the anterior ventral spinal arteries and/or the anterior spinal artery); 4)hypotrophy of the anterior surface of the pyramids in 13 cases; 5) hypotrophy of small nerve roots in the row of IX, X, and XI cranial nerves, and 6) hypotrophy of the anterior roots at C5-C6 in 9 cases.

Rafael discusses similar observations in his paper on ALS. In addition to the above, he also observed cervical spondylosis (degeneration) associated with ALS. Ischemia is a major cause of neurodegenerative condtions and atrophy.

[Robnl]

https://www.google.nl/url?sa=t&rct=j&q= ... 3Q&cad=rja

The Craniocervical junction ( CCJ) is a collective term used to describe the articulation
of the skull and the cervical spine. This includes theoccipito-atlantalandatlanto-axial
articulations.
Despite being commonly imaged, the intricacy of the anatomical structures in this
region poses challenges to interpreting the imaging findings. Symptomatic cases often
have neck pain.Myelopathy, syringomyelia,cerebellarsymptoms, cranAial nerve or spinal
cord deficits andvertebrobasilarischemiamay result from CCJ pathology. Differentiating
clinically significant pathologies from normal variants is crucial for guiding further medical
and surgical management.
We describe the anatomy of this complex region(1) , with demonstration of the imaging
features of normal variants, common patterns of trauma as well as various pathology that
could affect the CCJ

[Robnl]

Hello Robert,

I will look for the CD on Friday. I have been very busy lately with my new business venture as well as the two important papers I told you about and my next book, which I need to have ready for the publisher this coming March. Needless to say, I am up to my eyeballs in work. It would be easier and faster for you to make arrangements directly through Dr. Smiths office to get a second opinion and report from Dr. Harshfield rather than going through me. Don't do anything yet, but I may also recommend that you contact Dr. Rafael as well. I cite Dr. Rafael in the paper I sent you regarding the role of the vertebral-basilar artery and the anterior ventral and anterior spinal arteries in neurodegenerative conditions. I suspect there may a connection between the vertebral-basilar arteries and the atrophy of the cord in your case.

i received the mailaddress from dr Harshfield, will send the report....

[Robnl]

Hi Doc,

Tracking system says package is still 'on the road/in the air/etc'
As you probably jhave seen, i send the mri report to dr harsfield myself.
He has already read the mail...

[Robnl]

hi doc,

here 1image



see c5/c6?

[uprightdoc]

Hello Robert,

You wrote a good letter and you are an interesting case. Hopefully Dr. Harshfield will look at your report and scans.

If you look at the image you posted you will see normal shaped vertebra in the lower neck and upper back area (cervical and thoracic). If you look at the bottom of the second vertebral in your neck beneath the skull you will see that the bottom is not straight but warped. The warped plates of the vertebra continue down to C6. The warped shape most likely comes from compression loads due to heading the ball in soccer. The image otherwise looks normal to me. There is no apparent cause of obstruction to blood or CSF flow. The spinal cord, however, shows significant atrophy. It will be interesting to see what Dr. Harshfield has to say. I also think you should contact Dr. Rafael and tell him that you used to play soccer and you have compression deformation in your cervical vertebra most likely due to heading the ball along with atrophy of the spinal cord that I suspect may be due to decreased blood flow in the vertebral or anterior spinal artery. There are otherwise no obvious signs of involvement on your brain scans so far according to Dr. Smith. Ask Dr. Rafael if he thinks you need further tests for the vertebral-basilar and anterior spinal arteries.

[Robnl]

Hi doc,

How do I contact dr Hernando rafael Cruz?

[gulati]

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[uprightdoc]

Robert,

Go to the link below and click on author information for Dr. Rafael's contact information. Let him know that you used to play soccer and that you have significant atrophy of the cord. There are no signs of compression of blood or CSF pathways and the vertebral-basilar arteries appear normal. Nonetheless, I suspect your anterior spinal artery may be involved and the cause of the atrophy.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4162586/

[Robnl]

Seen it, done it, did not work

bad email address

[Robnl]

http://www.sci-therapies.info/omentum.h ... plantation

2) Omental Transplantation: Many others have used omental transplantation, not transposition, including Dr. Carl Kao and Dr. Hernando Rafael (Mexico). As reported at the 2001 WHO-sponsored conference held in Reykjavik, Iceland, Rafael grafts an unattached piece of omental tissue over the injured cord and connects it to a surrounding vascular source. At the time of the conference, he had treated 232 patients with traumatic SCI with the procedure. He claimed that 43 percent have neurologically improved, including 43 who are walking with or without the use of orthopedic devices. Somewhat similar omental transplantation procedures were reported by Moscow’s Dr. Georgie Stepanov.

and
http://drhbf.org/latest_news_items/9.pdf

[uprightdoc]

Do a Google search. I am sure you will find him.

It would be very interesting to get his opinion regarding the cord atrophy and possible involvement of the anterior spinal artery.

[Robnl]

Do a Google search. I am sure you will find him.

It would be very interesting to get his opinion regarding the cord atrophy and possible involvement of the anterior spinal artery.

i googled and googled and googled.........no results