{"id":4470,"date":"2025-08-25T06:35:33","date_gmt":"2025-08-25T06:35:33","guid":{"rendered":"https:\/\/www.raffaellopagani-ccsvi.it\/?p=4470"},"modified":"2025-08-20T14:44:37","modified_gmt":"2025-08-20T14:44:37","slug":"ccsvi-et-neurodegenerescence","status":"publish","type":"post","link":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/ccsvi-et-neurodegenerescence\/","title":{"rendered":"CCSVI et neurod\u00e9g\u00e9n\u00e9rescence : l\u2019inflammation cach\u00e9e"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4470\" class=\"elementor elementor-4470 elementor-4288\">\n\t\t\t\t<div class=\"elementor-element elementor-element-967cdd2 e-flex e-con-boxed e-con e-parent\" data-id=\"967cdd2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-db2f143 elementor-widget elementor-widget-text-editor\" data-id=\"db2f143\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Au fil des ann\u00e9es de pratique clinique avec la CCSVI, j\u2019ai compris que les troubles du drainage veineux pouvaient engendrer un <strong>processus neurod\u00e9g\u00e9n\u00e9ratif silencieux<\/strong>, agissant en dessous du seuil d\u00e9tectable par l\u2019imagerie traditionnelle. Ce m\u00e9canisme se d\u00e9veloppe \u00e0 travers <strong>l\u2019hypoxie veineuse, l\u2019exc\u00e8s de fer libre, les atteintes de la barri\u00e8re h\u00e9mato-enc\u00e9phalique (BHE)<\/strong> et le <strong>stress oxydatif<\/strong>. D\u00e9couvrons ensemble comment ces facteurs s\u2019entrecroisent.  <\/p><p>La CCSVI se caract\u00e9rise par des <strong>st\u00e9noses, des reflux et des compressions<\/strong> des veines jugulaires, azygos ou vert\u00e9brales, souvent influenc\u00e9s par la posture. Il en r\u00e9sulte une <strong>stase veineuse chronique<\/strong> qui perturbe l\u2019\u00e9quilibre h\u00e9modynamique c\u00e9r\u00e9bral et d\u00e9clenche des processus inflammatoires \u00e0 la fois locaux et syst\u00e9miques. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c097351 e-flex e-con-boxed e-con e-parent\" data-id=\"c097351\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-224d543 elementor-widget elementor-widget-themeht-heading\" data-id=\"224d543\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">Quand le drainage veineux c\u00e9r\u00e9bral ne fonctionne pas<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad3e9ee elementor-widget elementor-widget-text-editor\" data-id=\"ad3e9ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>\ud83e\ude78 Hypoxie veineuse chronique<\/h3><p data-start=\"94\" data-end=\"729\">Dans la CCSVI, l\u2019obstruction ou la compression des voies veineuses c\u00e9r\u00e9brales ne bloque pas l\u2019arriv\u00e9e du sang art\u00e9riel, mais en ralentit l\u2019\u00e9vacuation. Cela provoque une stagnation qui, avec le temps, r\u00e9duit l\u2019oxyg\u00e9nation des tissus c\u00e9r\u00e9braux. Il ne s\u2019agit pas d\u2019une hypoxie aigu\u00eb, mais d\u2019une <strong data-start=\"360\" data-end=\"388\">hypoxie chronique et post-capillaire<\/strong> qui perturbe le m\u00e9tabolisme neuronal. Les neurones ne b\u00e9n\u00e9ficient plus d\u2019un environnement optimal : des m\u00e9tabolites toxiques s\u2019accumulent, l\u2019\u00e9change des nutriments ralentit et l\u2019excitabilit\u00e9 des cellules nerveuses se modifie. Les sympt\u00f4mes les plus fr\u00e9quents ? Fatigue mentale, confusion, difficult\u00e9s de concentration \u2014 souvent confondues avec de l\u2019anxi\u00e9t\u00e9 ou du stress.     <\/p><p>\ud83d\udc49 Une \u00e9tude pilote men\u00e9e sur des patients atteints de CCSVI dans le cadre de la scl\u00e9rose en plaques a d\u00e9montr\u00e9 que le degr\u00e9 d\u2019hypoxie c\u00e9r\u00e9brale, mesur\u00e9 par perfusion IRM, <strong data-start=\"150\" data-end=\"188\">augmente avec la gravit\u00e9 de la CCSVI<\/strong> :<br data-start=\"159\" data-end=\"162\"><strong><span style=\"text-decoration: underline;\"><a title=\"Hypoperfusion of brain\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21385345\/\" target=\"_blank\" rel=\"noopener\" data-start=\"0\" data-end=\"128\" data-is-last-node=\"\" data-is-only-node=\"\">Hypoperfusion of brain parenchyma is associated with the severity of CCSVI \u2013 PubMed<\/a><\/span><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aecc164 elementor-widget elementor-widget-text-editor\" data-id=\"aecc164\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>\ud83e\uddf2 Accumulation de fer<\/h3><p data-start=\"762\" data-end=\"1344\">Le fer libre ne devrait pas se retrouver en grande quantit\u00e9 dans le parenchyme c\u00e9r\u00e9bral. Pourtant, en cas de reflux veineux et de micro-h\u00e9morragies dues \u00e0 une pression accrue, <strong data-start=\"923\" data-end=\"954\">l\u2019h\u00e9moglobine peut se d\u00e9grader<\/strong> et lib\u00e9rer du fer extracellulaire. Ce fer interagit avec le peroxyde d\u2019hydrog\u00e8ne et g\u00e9n\u00e8re des radicaux oxydants (r\u00e9action de Fenton), qui endommagent les cellules c\u00e9r\u00e9brales. Chez des patients atteints de CCSVI et de scl\u00e9rose en plaques, une accumulation de fer a \u00e9t\u00e9 observ\u00e9e dans <strong data-start=\"1201\" data-end=\"1291\">les noyaux gris centraux et \u00e0 proximit\u00e9 des veines p\u00e9riventriculaires<\/strong> \u2014 des zones cl\u00e9s pour la r\u00e9gulation motrice et cognitive.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a9cef15 elementor-widget elementor-widget-text-editor\" data-id=\"a9cef15\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>\ud83e\udde0 Atteinte de la barri\u00e8re h\u00e9mato-enc\u00e9phalique (BHE)<\/h3><p data-start=\"1401\" data-end=\"1894\">La BHE est un filtre hautement s\u00e9lectif qui prot\u00e8ge le cerveau des toxines et des mol\u00e9cules inflammatoires. Mais lorsque la pression veineuse reste chroniquement \u00e9lev\u00e9e, cette <strong data-start=\"1559\" data-end=\"1585\">barri\u00e8re se rel\u00e2che<\/strong>. Les cellules endoth\u00e9liales qui la composent s\u2019\u00e9cartent, les jonctions serr\u00e9es s\u2019affaiblissent, et des mol\u00e9cules inflammatoires comme le TNF-\u03b1, les interleukines, voire m\u00eame des cellules immunitaires peuvent s\u2019infiltrer. <strong data-start=\"1790\" data-end=\"1841\">Le cerveau se transforme alors en un environnement inflammatoire<\/strong>, expos\u00e9 \u00e0 une neurod\u00e9g\u00e9n\u00e9rescence lente mais continue.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5bcb36b elementor-widget elementor-widget-text-editor\" data-id=\"5bcb36b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>\u26a0\ufe0f Stress oxydatif<\/h3><p data-start=\"1927\" data-end=\"2470\">Tous les m\u00e9canismes pr\u00e9c\u00e9dents convergent vers une condition connue sous le nom de <strong data-start=\"1994\" data-end=\"2025\">stress oxydatif c\u00e9r\u00e9bral<\/strong>. Lorsque la production de radicaux libres (ROS) d\u00e9passe les d\u00e9fenses antioxydantes endog\u00e8nes (glutathion, superoxyde dismutase), les membranes cellulaires commencent \u00e0 se d\u00e9grader, les prot\u00e9ines se d\u00e9naturent et l\u2019ADN mitochondrial s\u2019ab\u00eeme. C\u2019est le \u00ab terrain fertile \u00bb pour des maladies neurod\u00e9g\u00e9n\u00e9ratives comme Alzheimer, la scl\u00e9rose en plaques, et m\u00eame Parkinson. Dans ce sens, la CCSVI <strong data-start=\"2384\" data-end=\"2469\">n\u2019est pas seulement une pathologie veineuse, mais un catalyseur pro-inflammatoire en cascade<\/strong>.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df53aa9 elementor-widget elementor-widget-themeht-heading\" data-id=\"df53aa9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">Tableau r\u00e9capitulatif : m\u00e9canismes cl\u00e9s<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c18566d elementor-widget elementor-widget-html\" data-id=\"c18566d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\r\n  .responsive-table {\r\n    width: 100%;\r\n    border-collapse: collapse;\r\n    font-family: Arial, sans-serif;\r\n  }\r\n\r\n  .responsive-table th, .responsive-table td {\r\n    text-align: left;\r\n    padding: 10px;\r\n    border: 1px solid #ccc;\r\n  }\r\n\r\n  .responsive-table thead {\r\n    background-color: #f4f4f4;\r\n  }\r\n\r\n  @media screen and (max-width: 768px) {\r\n    .responsive-table, \r\n    .responsive-table thead, \r\n    .responsive-table tbody, \r\n    .responsive-table th, \r\n    .responsive-table td, \r\n    .responsive-table tr {\r\n      display: block;\r\n      width: 100%;\r\n    }\r\n\r\n    .responsive-table thead {\r\n      display: none;\r\n    }\r\n\r\n    .responsive-table tr {\r\n      margin-bottom: 15px;\r\n      border: 1px solid #ddd;\r\n      padding: 10px;\r\n    }\r\n\r\n    .responsive-table td {\r\n      position: relative;\r\n      padding-left: 50%;\r\n      border: none;\r\n      border-bottom: 1px solid #eee;\r\n    }\r\n\r\n    .responsive-table td::before {\r\n      content: attr(data-label);\r\n      position: absolute;\r\n      left: 10px;\r\n      top: 10px;\r\n      font-weight: bold;\r\n      white-space: nowrap;\r\n    }\r\n  }\r\n<\/style>\r\n\r\n<table class=\"responsive-table\">\r\n  <thead>\r\n    <tr>\r\n      <th>M\u00e9canisme<\/th>\r\n<th>Effet principal<\/th>\r\n    <\/tr>\r\n  <\/thead>\r\n  <tbody>\r\n    <tr>\r\n      <td data-label=\"Meccanismo\">Hypoxie veineuse chronique<\/td>\r\n<td data-label=\"Effetto principale\">R\u00e9duction de la fonction neuronale, ralentissement cognitif<\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td data-label=\"Meccanismo\">Accumulation de fer<\/td>\r\n<td data-label=\"Effetto principale\">Production de radicaux libres, l\u00e9sions tissulaires<\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td data-label=\"Meccanismo\">Atteinte de la BHE<\/td>\r\n<td data-label=\"Effetto principale\">Perte de s\u00e9lectivit\u00e9 de la barri\u00e8re, neuroinflammation<\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td data-label=\"Meccanismo\">Stress oxydatif<\/td>\r\n<td data-label=\"Effetto principale\">Apoptose neuronale, risque de neurod\u00e9g\u00e9n\u00e9rescence<\/td>\r\n    <\/tr>\r\n  <\/tbody>\r\n<\/table>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-27aead0 elementor-widget elementor-widget-themeht-heading\" data-id=\"27aead0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h3 class=\" \">\u2753 FAQ \u2013 Foire aux questions<\/h3>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a71b76 elementor-widget elementor-widget-n-accordion\" data-id=\"0a71b76\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1090\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-1090\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> La CCSVI est-elle toujours visible avec un Doppler standard ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1090\" class=\"elementor-element elementor-element-3dbe9ba e-con-full e-flex e-con e-child\" data-id=\"3dbe9ba\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-721d2f0 elementor-widget elementor-widget-text-editor\" data-id=\"721d2f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Non. Un examen Doppler classique peut ne pas d\u00e9tecter les alt\u00e9rations li\u00e9es \u00e0 la posture. Il est essentiel d\u2019utiliser des m\u00e9thodes dynamiques et multimodales, comme le Doppler assis\/couch\u00e9, la phl\u00e9bographie s\u00e9lective ou le CBCT.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1091\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1091\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Les l\u00e9sions neurologiques provoqu\u00e9es par la CCSVI sont-elles irr\u00e9versibles ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1091\" class=\"elementor-element elementor-element-b56f1b6 e-con-full e-flex e-con e-child\" data-id=\"b56f1b6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd67221 elementor-widget elementor-widget-text-editor\" data-id=\"bd67221\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Pas toujours. Chez les patients trait\u00e9s rapidement, on a observ\u00e9 des am\u00e9liorations significatives des sympt\u00f4mes cognitifs, moteurs et sensoriels. La r\u00e9versibilit\u00e9 d\u00e9pend de l\u2019ampleur des l\u00e9sions et de la dur\u00e9e de l\u2019hypoxie veineuse.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1092\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1092\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Comment distinguer la CCSVI d\u2019autres pathologies neurologiques ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1092\" class=\"elementor-element elementor-element-4961358 e-con-full e-flex e-con e-child\" data-id=\"4961358\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8b29d58 elementor-widget elementor-widget-text-editor\" data-id=\"8b29d58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les sympt\u00f4mes de la CCSVI peuvent imiter ceux de la scl\u00e9rose en plaques, de l\u2019enc\u00e9phalopathie hypoxique ou de troubles dysautonomiques. La cl\u00e9 r\u00e9side dans la <strong data-start=\"953\" data-end=\"980\">nature posturale des sympt\u00f4mes<\/strong> (par exemple : aggravation en position debout et am\u00e9lioration en position allong\u00e9e) ainsi que dans la r\u00e9ponse positive \u00e0 une traction cervicale ou \u00e0 une d\u00e9compression veineuse. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1093\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1093\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Existe-t-il des examens sp\u00e9cifiques pour \u00e9valuer le stress oxydatif c\u00e9r\u00e9bral ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1093\" class=\"elementor-element elementor-element-003daf2 e-flex e-con-boxed e-con e-child\" data-id=\"003daf2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bed776e elementor-widget elementor-widget-text-editor\" data-id=\"bed776e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Il n\u2019existe pas de test clinique direct, mais certains <strong data-start=\"1242\" data-end=\"1260\">marqueurs sanguins<\/strong> (comme le MDA, le glutathion, les prot\u00e9ines carbonyl\u00e9es) et des techniques de neuro-imagerie fonctionnelle peuvent \u00eatre \u00e9valu\u00e9s. Toutefois, le diagnostic repose aussi sur l\u2019\u00e9vidence clinique. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1094\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1094\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Peut-on mesurer l\u2019accumulation de fer dans le cerveau ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1094\" class=\"elementor-element elementor-element-10da0f1 e-flex e-con-boxed e-con e-child\" data-id=\"10da0f1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-132196a elementor-widget elementor-widget-text-editor\" data-id=\"132196a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Oui, gr\u00e2ce \u00e0 l\u2019IRM avec des s\u00e9quences sp\u00e9cifiques (par ex. SWI \u2013 Susceptibility Weighted Imaging), qui permettent d\u2019identifier de mani\u00e8re non invasive les zones \u00e0 forte teneur en fer.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1095\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1095\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Un patient atteint de CCSVI peut-il ne pr\u00e9senter aucun sympt\u00f4me neurologique \u00e9vident ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1095\" class=\"elementor-element elementor-element-b651189 e-flex e-con-boxed e-con e-child\" data-id=\"b651189\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e673aa9 elementor-widget elementor-widget-text-editor\" data-id=\"e673aa9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Absolument. Certains patients pr\u00e9sentent seulement des <strong data-start=\"1774\" data-end=\"1802\">sympt\u00f4mes minimes ou discrets<\/strong>, comme du brain fog, une fatigue chronique ou des acouph\u00e8nes intermittents, qui ne se r\u00e9v\u00e8lent avec le temps que comme faisant partie d\u2019un tableau plus large. L\u2019identification pr\u00e9coce est donc fondamentale.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-039bc48 elementor-widget elementor-widget-text-editor\" data-id=\"039bc48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>\ud83d\udce9 Avez-vous des sympt\u00f4mes qui pourraient \u00e9voquer un probl\u00e8me de circulation veineuse c\u00e9r\u00e9brale ?<\/h3><p>Si vous vous reconnaissez dans une fatigue mentale, du brain fog, des c\u00e9phal\u00e9es posturales ou d\u2019autres sympt\u00f4mes d\u00e9crits dans cet article, <strong>il pourrait s\u2019agir d\u2019une cause vasculaire \u00e0 ne pas sous-estimer<\/strong>.<\/p><p>\ud83d\udc49 <strong>Prenez rendez-vous pour une \u00e9valuation sp\u00e9cialis\u00e9e de la CCSVI: <\/strong><span style=\"text-decoration: underline;\"><strong><a title=\"Contacts\" href=\"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/contacts-chirurgie-vasculaire-ccsvi\/\" target=\"_blank\" rel=\"nofollow noopener\">Contact<\/a><\/strong><\/span><\/p><h4>\u00c9couter son corps, c\u2019est parfois regarder l\u00e0 o\u00f9 peu de gens osent chercher.<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>La CCSVI peut d\u00e9clencher des processus neurod\u00e9g\u00e9n\u00e9ratifs via l\u2019hypoxie, le fer libre et des l\u00e9sions de la barri\u00e8re h\u00e9mato-enc\u00e9phalique. D\u00e9couvrez comment. <\/p>\n","protected":false},"author":1,"featured_media":4301,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[141],"tags":[844,840,271,110,854,852,322,843,842,848,849,847,841,794,846,851,845,853,855,850],"class_list":["post-4470","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ccsvi-fr","tag-accumulation-de-fer","tag-barriere-hemato-encephalique","tag-brain-fog-fr","tag-ccsvi-fr","tag-diagnostic-ccsvi-fr","tag-facteurs-vasculaires","tag-fatigue-mentale","tag-hypoxie-cerebrale","tag-inflammation-veineuse","tag-lesion-neuronale","tag-maladies-neuro-inflammatoires","tag-maladies-neurologiques","tag-neurodegenerescence","tag-perfusion-cerebrale","tag-reflux-veineux-cerebral","tag-risque-alzheimer","tag-stress-oxydatif","tag-symptomes-ccsvi","tag-traitement-ccsvi-fr","tag-troubles-cognitifs"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/posts\/4470","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/comments?post=4470"}],"version-history":[{"count":0,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/posts\/4470\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/media\/4301"}],"wp:attachment":[{"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/media?parent=4470"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/categories?post=4470"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/fr\/wp-json\/wp\/v2\/tags?post=4470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}