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Chronic Cerebrospinal Venous Insufficiency ( CCSVI) is the Cause of MS

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A patient who is diagnosed with multiple sclerosis may or may not know what caused him/ her to have multiple sclerosis. Now, according to the research of  Dr. Paulo Zamboni, M.D. (a professor of vascular surgery at Italy's University of Ferrara) and his colleagues of the Journal of Neurology, Neurosurgery & Psychiatry, a new theory comes that chronic cerebrospinal venous insufficiency is the cause of multiple sclerosis (MS).

Dr. Paulo Zamboni's theory of chronic cerebrospinal venous insufficiency that is an abnormality in how blood drains from the spinal cord and the brain, published in 2009. Its causes are:

Congenital "Plumbing Problem" Idea

Dr. Paulo Zamboni and his colleagues believe that chronic cerebrospinal venous insufficiency is the result of a "plumbing problem" in the veins of those people who develop MS. It is something that those people are born with malformed or narrow veins that goes narrower with the time.

Autoimmune Response to Infection Theory

These malformed veins may be the result of an autoimmune attack on the valves in the cerebral venous system that causes chronic inflammation as well as scarring. According to some people, this could be triggered by any number of  bacteria or viruses because there are links between MS and Chlamydia pneumoniae and "neurotropic" viruses such as rubella, measles and varicella. A strong correlation exists between MS as well as Epstein Barr Virus.

Excellent Specialists

Treatment for chronic cerebrospinal venous insufficiency takes the form of balloon angioplasties, placement of stents and / or surgical augmentation of the jugular vein. Only specialists who have long experience in handling vascular problems and cardio-thoracic, can perform these procedures.

The screening stage of this treatment involves neurologists and radiologists with much experience to perform the following:

Doppler Ultrasound for CCSVI
Liberation treatment for CCSVI
Magnetic Resonance Venography for CCSVI
Venogram for CCSVI
MRV for CCSVI

Doppler Ultrasound for CCSVI

Now, let us discuss what is a Doppler ultrasound for as patients who develop chronic cerebrospinal venous insufficiency must know about it. It is also called as duplex scanning that uses reflected sound waves to find the speed of blood because it flows through a blood vessel. It helps in finding the amount of stenosis or occlusion within the vein. This can also test venous response to patient positioning.                 

The Doppler ultrasound can be divided into the following categories:
Color Doppler
Continuous Doppler
Pulse-Wave Doppler or PW Doppler
Duplex Doppler
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