Title |
Percutaneous transluminal angioplasty for treatment of chronic cerebrospinal venous insufficiency (CCSVI) in multiple sclerosis patients
|
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Published in |
Cochrane database of systematic reviews, December 2012
|
DOI | 10.1002/14651858.cd009903.pub2 |
Pubmed ID | |
Authors |
Esther J van Zuuren, Zbys Fedorowicz, Eugenio Pucci, Vanitha A Jagannath, Edward W Robak |
Abstract |
Multiple sclerosis (MS) is a leading cause of neurological disability in young adults. The most widely accepted hypothesis regarding its pathogenesis is that it is an immune-mediated disease. It has been hypothesised more recently that chronic venous congestion may be an important factor in the pathogenesis of MS. This concept has been named 'chronic cerebrospinal venous insufficiency' (CCSVI) and is characterised by stenoses of either the internal jugular or azygos veins, or both. It is suggested that these stenoses restrict the normal blood flow from the brain, causing the deposition of iron in the brain and the eventual triggering of an auto-immune response. The proposed treatment for CCSVI is percutaneous transluminal angioplasty, also known as the 'liberation procedure', which is claimed to improve the blood flow in the brain thereby alleviating some of the symptoms of MS. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 2 | 33% |
Canada | 1 | 17% |
United Kingdom | 1 | 17% |
Unknown | 2 | 33% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 5 | 83% |
Science communicators (journalists, bloggers, editors) | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Brazil | 2 | 2% |
Spain | 1 | 1% |
Unknown | 92 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 21 | 22% |
Researcher | 15 | 16% |
Student > Bachelor | 11 | 12% |
Student > Ph. D. Student | 11 | 12% |
Other | 7 | 7% |
Other | 21 | 22% |
Unknown | 9 | 9% |
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Medicine and Dentistry | 45 | 47% |
Psychology | 11 | 12% |
Nursing and Health Professions | 6 | 6% |
Social Sciences | 6 | 6% |
Neuroscience | 4 | 4% |
Other | 8 | 8% |
Unknown | 15 | 16% |