Medical Report

Here is the Medical Report sent by the fabulos doctors at the Hospital Clinica Biblica

Patient: Don DuBois
Date: August 20, 2010
MS type: PPMS
Medication: none
Age:70
EDSS: 6.5
Main symptoms: Fatigue, impaired gait and balance, left arm immobility, swelling in extremities, cold feet and bedtime muscle spasms.

This is to certify that on August 19th 2010 while in Costa Rica, Central America; Mr. DuBois was studied for CCSVI.

A previous Duplex ultrasound was performed that showed jugular system asymmetry with impaired flow. There was an apparent obstruction of the jugular vein by the carotid bulb as well as a prominent valve on the left jugular vein.

In a venogram done the same day, an 8 Fr introducer was placed on the left fermoral vein and a 5 Fr hydrophilic catheter was advanced using a 0.035 Terumo glidewire guide directed to the enous vessels to be studied.

Severe stenosis of both internal jugular veins was found and an external compression of the left internal jugular vein by the carotid bulb was noted. Dilation of both vertebral vein was produced using an 18 x 40 mm XXL Boston Balloon and a 10 x 30 mm Bluemax Balloon. There was difficulty visualizing the vertebral system despite several attempts.

The azigous vein and iliac vein showed no signs of stenosis or reflux.

Heparin anticoagulation was done previous to all dilations and all punctures were ultrasound guided. No hematomas or bleeding were present at the puncture site. There were no complications during the procedure.

Enoxaparine (Lovenox) 60 mg SQ every 12 hours for one month was indicated after the procedure because of the possible lesion of the vessel wall and the risk of thrombus formation.

Mr. DuBois reported increased movement of the extremities, warm feet, improved gait, decreased swelling of extremities and decreased bedtime muscle spasms on post-operation day number one.