Chronic cerebrospinal venous insufficiency is not associated with chronic venous disorders: A case-control study

Phlebology. 2015 Dec;30(10):736-8. doi: 10.1177/0268355514544782. Epub 2014 Jul 31.

Abstract

Objectives: To evaluate the relationship between chronic cerebrospinal venous insufficiency (CCSVI) and the presence of a Chronic Venous Disorder (CVD).

Method: We included 55 subjects with CCSVI aged >18 years, and 186 controls without CCSVI. Each subject was evaluated with color Doppler sonography in accordance with Zamboni's five criteria, examined by two neurologists and interviewed with an ad-hoc designed form. The neurologists and the sonographers were mutually blinded. CVD were classified according to CEAP.

Results: Mean age was 42 years (SD = 9) in cases and 43 years (10) in controls (p = ns). The odds ratios in subjects CCSVI were 0.6 (0.2-2.2) for CEAP 1, 0.9 (0.2-4.5) for CEAP 2, and 1.0 (0.6-1.9) for family history of varicose veins. The prevalence of CVD and, family history of varicose veins, was similar between cases and controls for each Zamboni criterion.

Conclusions: We found no association of CCSVI with the presence of CVD or family history of varicose veins.

Keywords: CCSVI; CEAP; blinding; multiple sclerosis; veins.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • Cerebral Veins
  • Cerebrovascular Disorders / epidemiology*
  • Comorbidity
  • Disease Susceptibility
  • Female
  • Humans
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Multiple Sclerosis / epidemiology
  • Neurodegenerative Diseases / epidemiology
  • Single-Blind Method
  • Ultrasonography, Doppler, Color
  • Varicose Veins / diagnostic imaging
  • Varicose Veins / epidemiology*
  • Varicose Veins / genetics