<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
		>
<channel>
	<title>Comments on: Yet Another Nail in the CCSVI Coffin</title>
	<atom:link href="http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/feed/" rel="self" type="application/rss+xml" />
	<link>http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/</link>
	<description>Your Daily Fix of Neuroscience, Skepticism, and Critical Thinking</description>
	<lastBuildDate>Tue, 21 May 2013 17:06:47 +0000</lastBuildDate>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=3.4.1</generator>
	<item>
		<title>By: ccsvifab</title>
		<link>http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/comment-page-1/#comment-45840</link>
		<dc:creator>ccsvifab</dc:creator>
		<pubDate>Sun, 14 Oct 2012 22:34:26 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=4777#comment-45840</guid>
		<description>On October 12, 2012 MedPage today had this item. 
 &quot;LYON, France -- The largest study to date testing the venous-obstruction theory of multiple sclerosis failed to support it, leading the Italian Multiple Sclerosis Society to declare the theory dead.

Reported here by leaders of the group, known by its Italian abbreviation AISM, the study of nearly 2,000 individuals with blinded central imaging analysis found the condition in only about 3% of MS patients and in only slightly fewer healthy controls or patients with other neurological conditions.The prevalence of CCSVI as determined under this process was as follows in the three groups of participants:

MS patients: 3.26% (95% CI 2.38% to 4.45%)
Healthy controls: 2.13% (95% CI 1.10% to 4.14%)
Other neurological disorders: 3.10% (95% CI 1.58% to 6.44%)
On the basis of these small values, and the lack of significant (P&lt;0.05) differences between them, the AISM issued a statement declaring that &quot;CCSVI is not a disease connected to multiple sclerosis.&quot;

Moreover, it continued, &quot;for people affected by MS, there is no need to carry out additional tests to diagnose CCSVI, nor is vein surgery required.


The AISM is the first national MS society to make such a conclusive determination. In the U.S. and Canada, research on CCSVI commissioned by the major organizations in those countries is still under way, and no similar declaration is likely until those studies are completed.&quot;
&quot;Primary source: European Committee for Treatment and Research in Multiple Sclerosis
Source reference:
Comi G, et al &quot;Chronic cerebro-spinal venous insufficiency (CCSVI) and global venous haemodynamics in multiple sclerosis: the CoSMo study&quot; ECTRIMS 2012; Abstract 167

Why such studies are still underway in North America (squandering precious research time and funding) after so many negative studies baffles me. I wonder what it will take for the CCSVI hypothesis to admit that it objectively fails?</description>
		<content:encoded><![CDATA[<p>On October 12, 2012 MedPage today had this item.<br />
 &#8220;LYON, France &#8212; The largest study to date testing the venous-obstruction theory of multiple sclerosis failed to support it, leading the Italian Multiple Sclerosis Society to declare the theory dead.</p>
<p>Reported here by leaders of the group, known by its Italian abbreviation AISM, the study of nearly 2,000 individuals with blinded central imaging analysis found the condition in only about 3% of MS patients and in only slightly fewer healthy controls or patients with other neurological conditions.The prevalence of CCSVI as determined under this process was as follows in the three groups of participants:</p>
<p>MS patients: 3.26% (95% CI 2.38% to 4.45%)<br />
Healthy controls: 2.13% (95% CI 1.10% to 4.14%)<br />
Other neurological disorders: 3.10% (95% CI 1.58% to 6.44%)<br />
On the basis of these small values, and the lack of significant (P&lt;0.05) differences between them, the AISM issued a statement declaring that &quot;CCSVI is not a disease connected to multiple sclerosis.&quot;</p>
<p>Moreover, it continued, &quot;for people affected by MS, there is no need to carry out additional tests to diagnose CCSVI, nor is vein surgery required.</p>
<p>The AISM is the first national MS society to make such a conclusive determination. In the U.S. and Canada, research on CCSVI commissioned by the major organizations in those countries is still under way, and no similar declaration is likely until those studies are completed.&quot;<br />
&quot;Primary source: European Committee for Treatment and Research in Multiple Sclerosis<br />
Source reference:<br />
Comi G, et al &quot;Chronic cerebro-spinal venous insufficiency (CCSVI) and global venous haemodynamics in multiple sclerosis: the CoSMo study&quot; ECTRIMS 2012; Abstract 167</p>
<p>Why such studies are still underway in North America (squandering precious research time and funding) after so many negative studies baffles me. I wonder what it will take for the CCSVI hypothesis to admit that it objectively fails?</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: SimonW</title>
		<link>http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/comment-page-1/#comment-44873</link>
		<dc:creator>SimonW</dc:creator>
		<pubDate>Fri, 24 Aug 2012 07:21:04 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=4777#comment-44873</guid>
		<description>Billy, the mycoplasma thing is interesting. 

We already know some mycoplasma are pathological, we know they can be hard to eradicate, and we know some cause symptoms similar to some (supposed) autoimmune diseases, and there is evidence that some mycoplasma can be the initial trigger for sensitising the immune system to self in some autoimmune diseases. Thus even if it is wrong it is likely that there will be the odd positive studies and compelling anecdotes or case studies - because some people in those will actually have infections with mycoplasma (or something else that clears up when they are having long courses of antibiotics) causing or exacerbating their symptoms unless it is specifically excluded in trial criteria. Always harder to dispel a hypothesis with a little bit of truth than one that is entirely fiction, and we struggle enough with the later.</description>
		<content:encoded><![CDATA[<p>Billy, the mycoplasma thing is interesting. </p>
<p>We already know some mycoplasma are pathological, we know they can be hard to eradicate, and we know some cause symptoms similar to some (supposed) autoimmune diseases, and there is evidence that some mycoplasma can be the initial trigger for sensitising the immune system to self in some autoimmune diseases. Thus even if it is wrong it is likely that there will be the odd positive studies and compelling anecdotes or case studies &#8211; because some people in those will actually have infections with mycoplasma (or something else that clears up when they are having long courses of antibiotics) causing or exacerbating their symptoms unless it is specifically excluded in trial criteria. Always harder to dispel a hypothesis with a little bit of truth than one that is entirely fiction, and we struggle enough with the later.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: ccbowers</title>
		<link>http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/comment-page-1/#comment-44870</link>
		<dc:creator>ccbowers</dc:creator>
		<pubDate>Fri, 24 Aug 2012 02:40:04 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=4777#comment-44870</guid>
		<description>&quot;...likening them to the Western Australian scientist who overturned the accepted cause of peptic ulcers leading to the use of antibiotics to treat this condition.&quot;

Of course they are missing the point... the data ended up supporting the role of H Pylori, and the medical community followed the data.  Without supporting evidence, mavericks quickly become quacks</description>
		<content:encoded><![CDATA[<p>&#8220;&#8230;likening them to the Western Australian scientist who overturned the accepted cause of peptic ulcers leading to the use of antibiotics to treat this condition.&#8221;</p>
<p>Of course they are missing the point&#8230; the data ended up supporting the role of H Pylori, and the medical community followed the data.  Without supporting evidence, mavericks quickly become quacks</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: BillyJoe7</title>
		<link>http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/comment-page-1/#comment-44864</link>
		<dc:creator>BillyJoe7</dc:creator>
		<pubDate>Thu, 23 Aug 2012 21:46:17 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=4777#comment-44864</guid>
		<description>The following is a link to the ABC Catalyst program that coincidentally aired last night in Australia:

http://www.abc.net.au/catalyst/stories/3572695.htm

It treats the proponents of this hypothesis as heroes. But with a twist. They propose that the underlying cause of ccsvi is mycoplasma infection and they propose curing it with antibiotics for twelve months. Yes, they have a cure for MS. And there are the usual anecdotal reports of sufferers being cured. There is an opposing mainstream view which is well put and a caution by the presenter at the end, but the main thrust of the program is to treat these proponents as brave mavericks likening them to the Western Australian scientist who overturned the accepted cause of peptic ulcers leading to the use of antibiotics to treat this condition.</description>
		<content:encoded><![CDATA[<p>The following is a link to the ABC Catalyst program that coincidentally aired last night in Australia:</p>
<p><a href="http://www.abc.net.au/catalyst/stories/3572695.htm" rel="nofollow">http://www.abc.net.au/catalyst/stories/3572695.htm</a></p>
<p>It treats the proponents of this hypothesis as heroes. But with a twist. They propose that the underlying cause of ccsvi is mycoplasma infection and they propose curing it with antibiotics for twelve months. Yes, they have a cure for MS. And there are the usual anecdotal reports of sufferers being cured. There is an opposing mainstream view which is well put and a caution by the presenter at the end, but the main thrust of the program is to treat these proponents as brave mavericks likening them to the Western Australian scientist who overturned the accepted cause of peptic ulcers leading to the use of antibiotics to treat this condition.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: BillyJoe7</title>
		<link>http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/comment-page-1/#comment-44863</link>
		<dc:creator>BillyJoe7</dc:creator>
		<pubDate>Thu, 23 Aug 2012 21:34:12 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=4777#comment-44863</guid>
		<description>petrossa,

I don&#039;t think anyone is accusing Gamboni of hoaxing. He seems to genuinely believe in his hypothesis.</description>
		<content:encoded><![CDATA[<p>petrossa,</p>
<p>I don&#8217;t think anyone is accusing Gamboni of hoaxing. He seems to genuinely believe in his hypothesis.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: petrossa</title>
		<link>http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/comment-page-1/#comment-44861</link>
		<dc:creator>petrossa</dc:creator>
		<pubDate>Thu, 23 Aug 2012 19:15:08 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=4777#comment-44861</guid>
		<description>As for the final question of your piece, i go for the latter.
Nothing human is foreign to scientists, vanity is also there.

Better go to your grave as an unrecognized genius then as an admitted hoaxer.</description>
		<content:encoded><![CDATA[<p>As for the final question of your piece, i go for the latter.<br />
Nothing human is foreign to scientists, vanity is also there.</p>
<p>Better go to your grave as an unrecognized genius then as an admitted hoaxer.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: elmer mccurdy</title>
		<link>http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/comment-page-1/#comment-44857</link>
		<dc:creator>elmer mccurdy</dc:creator>
		<pubDate>Thu, 23 Aug 2012 17:54:19 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=4777#comment-44857</guid>
		<description>metaphors!</description>
		<content:encoded><![CDATA[<p>metaphors!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: mr. grieves</title>
		<link>http://theness.com/neurologicablog/index.php/yet-another-nail-in-the-ccsvi-coffin/comment-page-1/#comment-44853</link>
		<dc:creator>mr. grieves</dc:creator>
		<pubDate>Thu, 23 Aug 2012 13:54:59 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=4777#comment-44853</guid>
		<description>The interesting thing about this most recent study is that it was published in a radiology journal and conducted almost entirely by radiologists. CCSVI proponents have been consistently demonizing neurologists (as you noted) while claiming that radiologists and vascular surgeons are the true experts in this emerging field. I am interested to see how the conspiracy theorists will spin this one.

Your last point about Zamboni is something I have not considered and I think I agree - it may be the only way to really put a dent in support for CCSVI.</description>
		<content:encoded><![CDATA[<p>The interesting thing about this most recent study is that it was published in a radiology journal and conducted almost entirely by radiologists. CCSVI proponents have been consistently demonizing neurologists (as you noted) while claiming that radiologists and vascular surgeons are the true experts in this emerging field. I am interested to see how the conspiracy theorists will spin this one.</p>
<p>Your last point about Zamboni is something I have not considered and I think I agree &#8211; it may be the only way to really put a dent in support for CCSVI.</p>
]]></content:encoded>
	</item>
</channel>
</rss>
