scholarly journals Three patterns of chronic cerebrospinal venous insufficiency in Ménière syndrome patients: Diagnosis and treatment options

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Aldo Messina ◽  
Girolamo Garofalo ◽  
Antonella Faletra ◽  
Davide Piraino
Keyword(s):  
Venous Insufficiency ◽  
Color Doppler ◽  
Treatment Options ◽  
Specific Treatment ◽  
Color Doppler Ultrasound ◽  
Control Analysis ◽  
Rehabilitative Treatment ◽  
Chronic Cerebrospinal Venous Insufficiency ◽  
Ultrasound Evaluation ◽  
One Year

Identification techniques of the three different chronic cerebrospinal venous insufficiency patterns and related treatment options are in an initial phase of evaluation and analysis. Our purpose is to describe the appropriate management, proposing a tailored approach for each one. We identified three different Ménière syndrome patients in our Audiology Department, diagnosing the corresponding chronic cerebrospinal venous insufficiency pattern by Echo-color Doppler ultrasound evaluation and treating by venous angioplasty or rehabilitative treatment according to the internal jugular and vertebral veins anomalies found in each patient. According to the pattern, after specific treatment, echo-color-Doppler control analysis revealed a normalized venous outflow correlated to Ménière symptoms reduction and/or progressive disappearance during one year follow up. An adequate analysis of venous cerebral and ear outflow and a tailored treatment may represent an effective option when chronic cerebrospinal venous insufficiency is correctly diagnosed.

scholarly journals Italian Chronic Cerebrospinal Venous Insufficiency National Epidemiological Observatory methodology and preliminary data

2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Sandro Mandolesi ◽  
Aldo D'Alessandro ◽  
Marco Matteo Ciccone ◽  
Annapaola Zito ◽  
Tarcisio Niglio ◽  
...  
Keyword(s):  
Preliminary Data ◽  
Venous Insufficiency ◽  
Color Doppler ◽  
Position Statement ◽  
Chronic Cerebrospinal Venous Insufficiency ◽  
Medical Centers ◽  
Relapsing Remitting ◽  
Statistical Program ◽  
Asymptomatic Subjects ◽  
Type 3

The aim of our work is to describe the Memnet program’s use and potential and to show the data of Italian Chronic Cerebrospinal Venous Insufficiency (CCSVI)-National Epidemiological Observatory (NEO) activity in the first three years (http://www.osservatorioccsvi. org). From 2011 to 2014, all echo-color- Doppler (ECD) assessments were stored by Mem-net program into CCSVI-NEO web site (http://www.mem-net.it). Mem-net is a tool for multicenter data collection based on the International Society for Neurovascular Disease consensus and position statement, where we can insert patients (pts) history, neurological visits, ECD assessments, different examinations, therapies and surgical procedures. The website provides an epidemiological and statistical program for data analysis in real time. At present, 7 medical centers, affiliated to CCSVI-NEO, input their symptomatic and asymptomatic subjects with CCSVI. Data were storage using the Mem-net program. We analyzed data of only four centers on seven (Rome, Bari, Cagliari and Benevento). Total pts number with multiple sclerosis (MS) was 1109, mean age 46.0±13.4 [male 422 (38.05%); female 687 (61.95%)]. CCSVI positive pts were 937 (84.49%), CCSVI negative pts were 172 (15.51%). The CCSVI type 1 subjects were 530 (56.56%), CCSVI type 2 subjects were 20 (2.13%), CCSVI type 3 subjects were 387 (41.30%). We found 800 (85.38%) pts with criterion 1; 725 (77.37%) with criterion 2; 519 (55.39%) with criterion 3; 483 (51.55%) with criterion 4; 88 (9.39%) with criterion 5. The venous hemodynamic insufficiency severity score mean score was 3.8; the CCSVI mean score was 2.8; the MEM mean score was 34.7; the expanded disability status scale mean score was 4.5; the disease mean duration was 12.5±5.7 years. MS clinical types were divided as follows: relapsing-remitting pts were 449 (47.92%), Secondary progressive pts were 144 (15.37%), primary progressive pts were 72 (7.68%). The CCSVI-NEO database and Memnet software may be useful medical and researching tools for recording, storing, analyzing and studying ECD and vascular data. Preliminary data of NEO show an elevated prevalence of CCSVI in MS.

scholarly journals Color Doppler Ultrasound Evaluation of Management of Papulopustular Rosacea

2020 ◽  
Author(s):  
Roberto Bustos ◽  
Andrea Cortes ◽  
Maria Elena McNab ◽  
Eliseo Fuentes ◽  
Ariel Castro ◽  
...  
Keyword(s):  
Doppler Ultrasound ◽  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Ultrasound Evaluation

scholarly journals Chronic cerebrospinal venous insufficiency, ten years after. New headlights on a venous disease that enriched the vascular world

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Pietro Maria Bavera
Keyword(s):  
Venous Insufficiency ◽  
Point Of View ◽  
Venous Disease ◽  
Chronic Cerebrospinal Venous Insufficiency ◽  
Scientific Papers ◽  
One Year ◽  
Vascular Point

Two very recent scientific papers have re-opened a debate on a vascular issue, chronic cerebrospinal venous insufficiency (CCSVI), that apparently was sent in a corner by other trials and some Editorial hasty conclusions. The never-ending debate is still open and, perhaps, a one-year truce helped to calm waters and sort out, as by means of a sandbox, the situation from the vascular point of view. Before discussing why these recent papers have widened the path for CCSVI, some mind refreshing is mandatory, since the opinions are spread in all directions and a concise summary may help for those that are newcomers in this issue...

Venous Hemodynamic Insufficiency Severity Score variation after endovascular treatment of chronic cerebrospinal venous insufficiency

2014 ◽  
Vol 30 (4) ◽  
pp. 250-256 ◽  
Author(s):  
Filippo Scalise ◽  
Eugenio Novelli ◽  
Massimiliano Farina ◽  
Luciano Barbato ◽  
Salvatore Spagnolo
Keyword(s):  
Endovascular Treatment ◽  
Severity Score ◽  
Venous Insufficiency ◽  
Color Doppler ◽  
Disability Score ◽  
Chronic Cerebrospinal Venous Insufficiency ◽  
Group A ◽  
Edss Score ◽  
Group B

Introduction Chronic cerebrospinal venous insufficiency (CCSVI) is a vascular condition characterized by anomalies of the internal jugular veins (IJVs) and/or azygos veins with disturbed flow and formation of collateral venous channels. The presence of CCSVI has been associated with multiple sclerosis (MS). Percutaneous venous angioplasty (PVA) has been proposed to improve extracranial outflow; however, a non-invasive, post-procedural follow-up outcome measure has not been established. Aim of the study To evaluate the short-term hemodynamic follow-up of CCSVI after PVA using color Doppler ultrasound (CDU) and to investigate whether hemodynamic variation correlated with clinical variation. Materials and methods Forty-five patients affected by MS with confirmed CCSVI underwent IJVs PVA. Venous hemodynamic (VH) parameters indicative of CCSVI and the Venous Hemodynamic Insufficiency Severity Score (VHISS) were evaluated by CDU at baseline and 3 months post-PVA. Concurrently, the MS-related disability status (EDSS) was evaluated. Results The VH parameters and VHISS 3 months after IJVs PVA significantly decreased: the VH parameters −32.1% and the VHISS −33.8% ( p < 0.001). The EDSS score 3 months after IJVs PVA was significantly lower than the baseline (−5.5%, p < 0.001). Using the median value of the VHISS variation as the cut-off, we were able to identify two groups of patients: responders, group A; and non-responders, group B. The EDSS score variation at 3 months was 0.310 in group A and 0.275 in group B ( p = 0.746). Conclusions CCSVI endovascular treatment can induce an improvement in VH parameters and the VHISS. The neurological disability score (EDSS) also improved after PVA; however, there was no correlation to the VHISS variation after PVA, MS type and duration.

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