About

This is my personal blog about treatment for Multiple Scerlosis. I am documenting the outcome of treatment for jugular stenosis with stents, which I received 10/29/2009 at Stanford Medical Center, by Dr. Michael Dake.

Dr. Dake began this treatment in May of 2009, following the publication by Dr. Paolo Zamboni of his findings linking venous stenosis as the cause of MS. Zamboni gave the condition the name Chronic Cerebro-Spinal Venous Insufficiency (CCSVI). The malformation can take many forms, from a kink in the jugular vein, to a completely missing vein. The end result is blocked blood flow trying to leave the brain, resulting in reflux of deoxygenated blood back into the brain. The theory holds that this is the cause of  MS brain damage and lesions.

Currently there is debate between neurology and vascular medicine about the validity of the CCSVI theory. It still needs to be further investigated by clinical intervention trials.  After the National MS Society was swamped by patient inquiries over the winter, they agreed to set up an international review panel, and fund intervention trials.  So far I hear that Stony Brook, Georgetown University, Duke, Stanford and Univ. South Carolina are readying trial proposals in the USA. In Canada, it is Univ. Bristih Columbia, and McMaster/Hamilton.  If you are interested in the trials, contact them now as there is high interest and they will fill up quickly.

I decided to run my own personal trial, by having my stenosis corrected. Now I am observing and reporting my results, trying to remain objective and transparent, in the hope of helping others who are deciding on joining a trial, or pursuing diagnostic scans.

As of January 2010, CCSVI has been classified as a congenital “truncular venous malformations”. Vascular experts from 47 countries studied the evidence and unanimously voted in favor of officially including the stenosing lesions found in CCSVI in their new Consensus & Guidelines. Congenital, or birth defect, means it precedes the onset of multiple sclerosis. Source: Consensus Conference on Venous Malformations,  headed by Prof. Byung B Lee, Georgetown University (link).