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Friday, February 11, 2011 8:23 PM | Ken Torbert Volg link

Cerebrospinal Drainage Not Tied to Multiple Sclerosis


There does not appear to be a cause-effect relationship between chronic


cerebrospinal venous insufficiency and the onset of multiple sclerosis,


according to a study published in the January issue of the Annals of


Neurology.


http://www.doctorslounge.com/index.php/news/pb/17787



FRIDAY, Feb. 11 (HealthDay News) -- There does not appear to be a


cause-effect relationship between chronic cerebrospinal venous insufficiency


(CCSVI) and the onset of multiple sclerosis (MS), according to a study


published in the January issue of the Annals of Neurology.



Claudio Baracchini, M.D., from the University of Padua School of Medicine in


Italy, and colleagues examined whether CCSVI was a possible cause of MS.


Fifty patients who presented with clinically isolated syndromes and


dissemination in space of the inflammatory lesions, suggestive of MS,


underwent diagnostic tests, including extracranial and transcranial venous


echo-color Doppler sonography (ECDS-TCDS). Patients with CCSVI also had


selective venography.



The researchers found that the TCDS was normal in all of the possible MS


patients, but 52 percent had one or more abnormal ECDS finding. Sixteen


percent of patients fulfilled the diagnosis of CCSVI. Seven of these


patients underwent selective phlebography but did not show any venous


abnormalities.



"In conclusion, CCSVI is an infrequent condition in pMS [possible MS];


indeed, 84 percent of the patients with pMS did not have it. Moreover, a


perfectly normal venous TCDS in all our pMS patients strongly indicates that


even in those few patients with a CCSVI pattern the extracranial


venousanomalies do not influence cerebral venous hemodynamics," the authors


write.



Several of the researchers on this study disclosed financial relationships


with pharmaceutical companies, including Pfizer, Sanofi-Aventis, and


Merck-Serono.



Abstract: http://onlinelibrary.wiley.com/doi/10.1002/ana.22228/abstract


Full Text: http://onlinelibrary.wiley.com/doi/10.1002/ana.22228/full


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