Chronic Cerebrospinal Venous Insufficiency and the Klenner therapy
Monday, June 14th, 2010The reason we have delayed writing something about these findings despite the first very encouraging data was because we didn’t want to give the wrong impression and
because we wanted to watch all this closer with patience.
We feel that is time to say a few words since we believe that this discovery can contribute decisively to what we call “Cause of MS” and the therapy section as well.
Also throughout the evidence so far we believe certain parts of the protocol are backed up and the protocol itself is a true proof for the theory of Chronic Cerebrospinal Venous Insufficiency (CCSVI).
CCSVI is a chronic condition if left untreated, which causes blood from the brain and spine to be slowed or stopped in its attempt to flow back to the heart. Let’s see closer what is all about and what is the relation of the CCSVI with the protocol in our opinion.
1. What exactly is CCSVI?
CCSVI is a chronic (ongoing) problem where blood from the brain and spine has trouble getting back to the heart. It’s caused by stenosis (a narrowing) in the veins that drain the spine and brain. Blood takes longer to get back to the heart, and it can reflux back into the brain and spine or cause edema and leakage of red blood cells and fluids into the delicate tissue of the brain and spine. Blood that stays in the brain too long creates “slowed perfusion”…a delay in deoxyginated blood leaving the head. This can cause a lack of oxygen (hypoxia) in the brain. Plasma and iron from blood deposited in the brain tissue are also very damaging.
2. How is this related to MS?
We must say that this condition isn’t caused by MS, although initially there was such a case. It is more likely to deform into a vein that may be available even from the moment we are born. The existence of stenosis appears to be independent of MS and co-existed.
A top Italian surgeon Dr Paolo Zamboni has completed a preliminary investigation using ultrasound and MRV (magnetic resonance venography) to examine the veins which lead to the brain. The investigation involved hundreds of patients and healthy people. Dr. Zamboni discovered that the majority of the patients with multiple sclerosis including one of which happened to be his wife, had jugular and azygos veins which drain blood from the brain distorted or blocked. In the healthy controls without multiple sclerosis, the veins or vessels were not.
Since the original study, two further studies have been completed to backup the theory. The first, an open label study by Dr Zamboni himself (view here) followed MS Patients after treatment. The second a randomised initial clinical study, found that 55% of MS patients had vein abnormalities (view details).
Epidemiological studies conducted by research groups in the United States and Europe have confirmed that there is a correlation between the two diseases at least 90% of cases. This relationship is actually stable and significant.
3. What is the theory behind this?
Dr. Zamboni theorises that CCSVI causes a build up of iron in the brain and causes damage to important blood vessels. The damage allows metals and other unwelcome cells such as immune cells, to cross the crucial blood brain barrier. This important barrier keeps blood and cerebrospinal fluid divided. Dr. Zamboni believes that the damage caused in CCSVI allows immune cells to cross the blood brain barrier leading to destruction of myelin, which is a crucial sheathing coating human nerves.
4. How can CCSVI be diagnosed?
A technique called Doppler ultrasound can tell if a patient has reflux. However the use of dopplers are very dependent on operators skill, and as a result often give false results. The doppler of the neck is not enough. It needs to be combined with a “transcranial doppler” to show reflux into the brain.
Being tested for CCSVI requires tests conducted by a doctor who specializes in radiology. This is a field of medicine which specialises in seeing inside the veins, often called a venography. Dye is injected into a humans veins to see how blood is flowing in the patients body.
Dr. Zamboni has a very specific protocol for doppler scanning of the jugular veins. This can be downloaded here.
5. Can CCSVI be cured?
Yes. With the method called invasive phlebography. The findings of the ultrasound Doppler method in the jugular vein are confirmed and then using the angioplasty balloon in opening up the vein. A catheter is inserted into the vein and inflates a balloon that expands the narrowing.
It does not require hospitalization, surgery or general anesthesia and is painless procedure. It may last from one to several hours.
6. Is there a probability of restenosis?
Yes. So after surgery there are usually rather frequent exams. If this happens, you could follow new angioplasty procedures without any problems. It is said that if the problem is found in azygous then the chances of restenosis are greatly reduced.
The use of stends jas been suggested but due to the dangers there are it is much better to be avoided.
7. Does the treatment of CCSVI influence the course of multiple sclerosis?
Yes. It appears that improved venous circulation to the brain reduces the number of relapses and active outbreaks and improves symptoms, the quality of life. In patients with worsening multiple sclerosis, deterioration can be stopped or slowed down. There are spectacular results in symptoms that vary depending on the case.
8. How the CCSVI is related with Dr Klenner’s the protocol?
The protocol includes vitamins that directly help the restoration or improve the blood flow in the body. First and best vitamin that is used for this cause is niacin (Vitamin B3). Niacin creates an instant flush and many patients reported an immediate improvement of their situation during the flush. Niacin is a vasodilator, opens all blood vessels and capillaries to allow maximum blood flow.
Vitamin C, E and Fish Oil also play an important role. Among other things Vitamin E and Fish Oil help the better blood flow while Vitamin C helps the vein health.
The body needs vitamin C to produce two major materials: collagen and elastin. Both are used for the repair and maintenance of the veins in order to be kept strong and flexible. Even more important for maintaining the health of veins and capillaries are bioflavonoids. The chemical compounds are often found in the same foods as vitamin C and identified as it’s metabolites.
Finally, all antioxidants used in the protocol are useful because of the iron oxidation, caused by CCSVI.
9. Should we stop the protocol right after the operation?
Usually after the surgery blood thinners are administered to eliminate the chance of thrombosis. YOU SHOULDN’T TAKE VITAMIN E OR FISH OIL WHILE USING THE BLOOD THINNERS. According to patients who asked their doctors about the protocol and had the “Liberation” procedure, there is no danger having the protocol right after and that is what they did without problems. Asking the question if Liver Extract may cause side effects because of the iron contained the answer was negative.
At any case inform your doctor.
Don’t forget that MS is a multifactorial disease and CCSVI is not the solution. Correction of the CCSVI doesn’t mean a complete cure, even if there’s many times an amazing improvement of many symptoms. A simple opening of the veins, eventhough is very – very important and needed, can not undo the damage caused in the Central Nervous System alone. The factors interfering with MS and are described in this website will continue to exist and they may affect you in a negative way. Thus generally the protocol should be continued.
More information about this issue we hope to be available soon. It would certainly be a good question how the protocol is helps with the CCSVI theory. Maybe you could ask your doctor and give us a good feedback.
10. Is there a special thing to do after the operation?
Besides of the blood thinners given, there is nothing more. Follow your doctor’s advice.

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