Posts Tagged ‘Magnetic resonance imaging’

Magnetic Resonance Imaging scan of a head

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As I continue to investigate the connection between Multiple Sclerosis and trauma to the head and neck…I came across this information linking whiplash and MS from 1996….check it out. 

Whiplash Trauma and Multiple Sclerosis 

by Daniel J. Murphy, DC, FACO 

Multiple sclerosis linked with trauma in court case 

British Medical Journal, Vol. 313, 

November 16, 1996 

Reported by Bryan Christie 

A former policeman was awarded $820,875 in damages by a court which accepted that he developed multiple sclerosis after sustaining whiplash injures in a road accident

Although the judgment is controversial, it is expected to give rise to further legal action from patients with multiple sclerosis who suffered injuries before the onset of their symptoms. 

 The 49-year-old man developed symptoms within a week of injuring his neck during a crash and overturn motor vehicle accident. 

Neurologists who gave evidence on behalf of the officer told the court that they had seen people in which symptoms of MS developed within weeks of suffering whiplash injuries

One professor of neurology emphasized that such injuries could not cause MS by themselves but could bring on the condition in already susceptible individuals. He noted that the patient “might well have lived a normal life but for the injuries he sustained.” 

Dr. Charles Poser of the Harvard Medical School, said: “there were hundreds of such cases, too many to be caused by chance.” 

            The Judge (Lord) “accepted that the historical, anecdotal and experimental evidence supported the proposition that a causative factor in some cases” of MS, noting: “the medical witnesses “had all themselves seen cases where they had accepted that the onset or recurrences of symptoms had been brought about by trauma, especially whiplash injury. In my opinion, these circumstances are far too strong to be put down mere chance.” 

Trauma to the Central Nervous System May Result in Formation or Enlargement of Multiple Sclerosis Plaques Controversies in Neurology Charles M. Poser, MD; Archives of Neurology; Vol. 57 No. 7, July 2000 Dr. Poser is from the Department of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. In this article, he notes the following: 

            In some patients with multiple sclerosis (MS), trauma may act as a trigger for the appearance of new or recurrent symptoms.   Only trauma affecting the head, neck, or upper back, which may affect the brain and/or spinal cord, can be considered significant.  This premise is based on the two considerations: 

            1. An alteration of the blood-brain barrier (BBB) is a necessary step in the pathogenesis of the MS lesion, and 

            2. Trauma to the central nervous system (CNS) can result in a breach of the BBB. 

            The fact that an alteration of the BBB is an important step in the formation of the MS lesion has been demonstrated many times by serial magnetic resonance imaging (MRI) studies and from positron emission tomography (PET) studies. 

            The alteration in the permeability of the BBB for the development of MS is most frequently triggered by an inflammatory immunological phenomenon. 

            Poser notes others who contend: 

            1. Repeated episodes of asymptomatic breakdowns of the BBB eventually leads to demyelination and symptomatic relapse. 

            2. Without BBB penetration, myelin injury would not occur. 

            3. The fact that MS is focal could be explained by local breakdown of the BBB. 

            4. It is clear that a breakdown of the BBB is an early if not the first step in plaque generation. 

            “For many years, trivial head injuries such as concussion were considered to result only in physiological disruption of neural function without anatomical changes.” 

            However, both spontaneous and experimental concussive CNS injury can cause diffuse microscopic lesions of blood vessel walls that often escape notice on superficial examination of the brain. 

            “The effects of minor trauma on the CNS assume great importance because whiplash injury is a frequent result of minor vehicular accidents, in particular, the rarely mentioned minor rear-end collision.” 

Next time we will look into this link between minor rear end collisions, whiplash and MS a little closer. 

Dr. William R. Davis Jr., D.C. is a Oceanside Chiropractor and Upper Cervical Specialist. He is in private practice in Southern California in the city of Vista. He specializes in correcting problems in the upper cervical spine (upper neck). This vital area is intimately connected to the central nervous system and problems in this area have been shown to be an underlying cause of a variety of different health problems. More information can be found on his website at http://www.nuccawellness.com


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The vertebral vein.

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So what does Multiple Sclerosis have to do with Migraine Headaches?  New research is now providing a possible explanation of the correlation between MS & Migraine sufferers and how Upper Cervical Specialists are able to get such good results with the correction of Atlas misalignments in both conditions.  The Upper Cervical Research Foundation (ucrf.org) has been doing some very interesting research with Phase Contrast Magnetic Resonance Imaging (PC MR) lately.

In their paper Changes in Cerebral Blood Flow Patterns and Velocities of Migraine Subjects Following an Atlas Correction they stated “Results of a case study describing a subject diagnosed with migraine headache (without aura) reveal compelling results obtained with Phase Contrast Magnetic Resonance Imaging Angiography (PC MR). The subject was evaluated using the protocol of the National Upper Cervical Chiropractic Association (NUCCA) to determine the presence of an Atlas misalignment. After Atlas correction, a follow-up PC MR Study demonstrated changes in cerebral venous outflow. A change in vessel outflow pattern from a jugular to the paravertebral plexus route was discerned. Venous flow rate and vessel pulsatility decreased as well as cerebrospinal flow rate across the Atlas (C-1) vertebra. Most significantly, the imaging procedure measured a distinct decrease in intracranial compliance. The subject obtained relief from migraine headache pain consistent to maintenance of his Atlas correction by the end of thirty days. The PC MR exam continued to show improvement of the hemodynamic parameters measured over the 16-week study period consistent to maintenance of Atlas alignment.”

What does that all mean in english…if you correct problems with the alignment of the bones at the top of the neck with a precise form of chiropractic care called NUCCA then it changes the blood flow from the brain to the body.  And since Migraine headaches are frequently vascular in origin…changing the blood flow from the brain is important and can take away the migraines completely…as in this case study and many others.  I have seen in my own office someone who has had Migraines for 50 years have them go away after restoring the proper alignment of the atlas.  Another patient who was getting up to 30 Migraines a month had her Migraines completely go away after properly aligning the Atlas.

So what does this all have to do with Multiple Sclerosis?

According to the National Multiple Sclerosis Society website Chronic Cerebrospinal Venous Insufficiency (CCSVI), is a reported abnormality in blood drainage from the brain and spinal cord, this may contribute to nervous system damage in MS.  CCSVI has been getting a lot of press recently because Dr. Paolo Zamboni from the University of Ferrara in Italy published his initial findings in June 2009 from a study of approximately 65 patients.  Based on the results of preliminary research which has been published in respected peer journals, Dr. Zamboni and others have recommended larger scale studies to determine if CCSVI may be treated through an endovascular surgical procedure, which involves inserting a tiny balloon or stent into blocked veins in order to improve the flow of blood out of the brain and spinal cord.  This procedure produced complete remissions in MS in 90% of the participants of the study!

My question is why are the veins blocked to begin with?  What has occurred that has led to the changes in the veins?  Instead of forcing the veins open with a stent…why not correct the underlying cause of the malformation?

Then you look at Dr. Erin Elster’s research with trauma and multiple sclerosis where she found that 90% of patients diagnosed with MS have had a trauma to the head or neck prior to the onset of the symptoms. And when x-rayed these patients have a clearly misaligned spine that is putting pressure on the nervous system and the blood vessels.  When these misalignments of the upper cervical spine are corrected over 90% of the patients in her study had results.  Some patients were able to get out of their wheelchairs!

What happened to them?  The same thing that Dr. Zamboni was doing…changing the blood flow from the brain to the body.  Only in Dr. Elster’s results she wasn’t artificially forcing the vessels open she was correcting the underlying cause of the vessels malformation!

Now not all MS patients responded to either of the treatment options…and perhaps there are other factors involved…but wouldn’t it make sense if you have MS or Migraine headaches to have an upper neck evaluation by an upper cervical specialist?  Especially if you have a history of head or neck trauma?

If you are in the San Diego County area call the office or go to www.nuccawellness.com to get a complimentary consultation to see if you have an Upper Cervical Misalignment.  If not, go to www.nucca.org or www.upcspine.com to find a Doctor in your area.

The longer you wait the more damage is done…put your scepticism aside and see if you can be helped!

Dr. William R. Davis Jr., D.C. is a Oceanside Chiropractor and Upper Cervical Specialist. He is in private practice in Southern California in the city of Vista. He specializes in correcting problems in the upper cervical spine (upper neck). This vital area is intimately connected to the central nervous system and problems in this area have been shown to be an underlying cause of a variety of different health problems. More information can be found on his website at http://www.nuccawellness.com  





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