Interesting study -- unfortunately the authors fail to recognize mechanical issues at the CCJ (cranio cervical junction), The MRI's show a rotational mis-alignment at the C-1 and the Sagital MRI show the possibility of low lying cerebellar tonsils.

Neurosurgeons in the UK stent the jugular vein of a patient with a CSF leak, and discover his brain perfusion is improved, his CSF flow is repaired, and his symptoms of fatigue, dizziness, difficulty concentrating, depression and spasms go away. Sound familiar? Repairing jugular venous stenosis is real, and it can heal the brain. Neurosurgeons and neurologists need to consider alterations to CSF in MS. Endovascular stenting is an approved treatment for idiopathic intracranial hypertension (IIH) with hundreds of successful procedures worldwide.