Magnetic resonance venography of chronic cerebrospinal venous insufficiency in the patients with associated multiple sclerosis

2011
journal article
article
dc.abstract.enBackground: Multiple sclerosis (MS) is a chronic disease with not well understood etiology. Recently, a possible association of MS with compromised venous outflow from the brain and spinal cord has been studied (chronic cerebrospinal venous insufficiency – CCSVI). Angioplasties of internal jugular veins (IJV) and azygous vein (AV) have given promising results, with improvements in patients' clinical status. Material/Methods: 830 patients with clinically defined MS were scanned from the level of sigmoid sinuses to the junction with brachiocephalic veins, as well as at the level of AV. T2-weighted, 2D TOF and FIESTA sequences were used. Results: The examination revealed a slower blood flow in IJVs, in 98% of patients: on the right side – in 6%, on the left side – in 15%, on both sides with right-side predominance – in 22%, on both sides with left-side predominance – in 34%, bilaterally with no side predominance – in 19%. In 2%, there was a slower blood flow in IJVs, vertebral veins and subclavian veins and also in the left brachiocephalic vein. Moreover, in 5% of patients there was a decreased blood flow in the azygous vein. Conclusions: Abnormal flow pattern in IJVs is more common on the left side. Less often it can be found in azygous vein and in brachiocephalic veins. Further research is needed to investigate the significance of CCSVI in MS patients. The protocol we described can be used for most of modern magnetic resonance units.pl
dc.contributor.authorHartel, Marcinpl
dc.contributor.authorKluczewska, Ewapl
dc.contributor.authorSimka, Marianpl
dc.contributor.authorLudyga, Tomaszpl
dc.contributor.authorKostecki, Jacekpl
dc.contributor.authorZaniewski, Maciejpl
dc.date.accession2018-08-27pl
dc.date.accessioned2018-08-27T11:56:47Z
dc.date.available2018-08-27T11:56:47Z
dc.date.issued2011pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 62pl
dc.description.number1pl
dc.description.physical59-62pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume76pl
dc.identifier.articleid881410pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/56469
dc.identifier.weblinkhttp://archiwum.polradiol.com/abstract/index/idArt/881410pl
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enCCSVIpl
dc.subject.enchronic cerebro-spinal venous insufficiencypl
dc.subject.enmultiple sclerosispl
dc.subject.enmagnetic resonance venographypl
dc.subtypeArticlepl
dc.titleMagnetic resonance venography of chronic cerebrospinal venous insufficiency in the patients with associated multiple sclerosispl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background: Multiple sclerosis (MS) is a chronic disease with not well understood etiology. Recently, a possible association of MS with compromised venous outflow from the brain and spinal cord has been studied (chronic cerebrospinal venous insufficiency – CCSVI). Angioplasties of internal jugular veins (IJV) and azygous vein (AV) have given promising results, with improvements in patients' clinical status. Material/Methods: 830 patients with clinically defined MS were scanned from the level of sigmoid sinuses to the junction with brachiocephalic veins, as well as at the level of AV. T2-weighted, 2D TOF and FIESTA sequences were used. Results: The examination revealed a slower blood flow in IJVs, in 98% of patients: on the right side – in 6%, on the left side – in 15%, on both sides with right-side predominance – in 22%, on both sides with left-side predominance – in 34%, bilaterally with no side predominance – in 19%. In 2%, there was a slower blood flow in IJVs, vertebral veins and subclavian veins and also in the left brachiocephalic vein. Moreover, in 5% of patients there was a decreased blood flow in the azygous vein. Conclusions: Abnormal flow pattern in IJVs is more common on the left side. Less often it can be found in azygous vein and in brachiocephalic veins. Further research is needed to investigate the significance of CCSVI in MS patients. The protocol we described can be used for most of modern magnetic resonance units.
dc.contributor.authorpl
Hartel, Marcin
dc.contributor.authorpl
Kluczewska, Ewa
dc.contributor.authorpl
Simka, Marian
dc.contributor.authorpl
Ludyga, Tomasz
dc.contributor.authorpl
Kostecki, Jacek
dc.contributor.authorpl
Zaniewski, Maciej
dc.date.accessionpl
2018-08-27
dc.date.accessioned
2018-08-27T11:56:47Z
dc.date.available
2018-08-27T11:56:47Z
dc.date.issuedpl
2011
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 62
dc.description.numberpl
1
dc.description.physicalpl
59-62
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
76
dc.identifier.articleidpl
881410
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/56469
dc.identifier.weblinkpl
http://archiwum.polradiol.com/abstract/index/idArt/881410
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
CCSVI
dc.subject.enpl
chronic cerebro-spinal venous insufficiency
dc.subject.enpl
multiple sclerosis
dc.subject.enpl
magnetic resonance venography
dc.subtypepl
Article
dc.titlepl
Magnetic resonance venography of chronic cerebrospinal venous insufficiency in the patients with associated multiple sclerosis
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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