When I got #LongCovid, it felt like I began to fall apart. But that was not only figuratively, I really was, literally.
Now I know the status of my neck- and spine. And it’s very seriously damaged…1/
#EDS #MEspine #MECFS #hypermobility
Following imaging & evaluation at @Clinica_Teknon I have been diagnosed with -

1) CCI (Cranio-Cervical Instability) and Cranial Settling.
This means that my skull, C0, is sinking down, pressing on my spine and compressing my brainstem.
2) AAD & AAI (Atlanto-Axial Dislocation and Subluxation).
This means that my C1 & C2 vertebrae are misaligned and dislocated to the left.
3) Further subaxial instability of vertebrae C4 & C5, right herniation-protusion of disc C5 and C6.
4) OTC (Occult Tethered Cord) visible on Lumbar Prone-Supine MRI.
This means that the spinal cord is tethered by the filum terminale, with serious neurological consequenses -

me-pedia.org/wiki/Tethered_…
5) Due to an abnormal curvature of my lower spine, I have a L5-S1 discopathy, meaning a degeneration of a intervervetebral disc, putting further pressure on the lumbar spinal cord.
6) Abnormal jugular veins, meaning bilateral internal jugular vein compression and abnormal loops running close to C5 & C6

These findings explain my serious and progressive neurological symptoms and severe pain.
The option is to undergo a full cervical fusion C0-C7, a high-risk surgery that would leave me with a 0% mobility of my neck, meaning I could never turn my head again, not even a milimeter.

And, a Tethered Cord Release surgery.
However, due to the rare complicating factors in my case, including the loops on my jugular veins, the cervical fusion surgery becomes too risky, hence is likely ruled out.
Why has this happened to me? No one knows.
It may be an unfortunate combination of genetic/congenital factors and infectious triggers causing faulty connective tissue and collagen formation, impacting the ligaments supporting the neck- and spine.
The connection between #MECFS #ehlersdanlossyndrome and related conditions, and these spinal problems (CCI, AAI, OTC) is becoming increasingly evident, as in this study for example;

ncbi.nlm.nih.gov/pmc/articles/P…

@BjornBragee
Still, the spinal issues are underdiagnosed in the #LongCovid #MECFS #EDS patient populations, and are generally overlooked by the medical- and research communities involved in these conditions.
I firmly believe that the prevalence of these types of serious structural issues must receive much greater attention, and that neurologists/neurosurgeons must be involved in the translational research efforts now underway to solve the questions of post viral illness & #LongCovid

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More from @Gronnet

Nov 18
Attention all healthy Swedes.
Do you trust Sweden’s social safety net?

If you get chronically ill in Sweden, what will happen?
Is this something you think about, or do you assume that there’s an adequate safety net, that will be deployed, should you need it?
Once renowned for its system of free healthcare and social security, Sweden has been slipping. Today, the number of hospital beds are among the lowest within the EU, the waiting time for treatment and surgeries longer than ever…
…and a lot of medications are simply not available to Swedes, for example medicine for Cystic Fibrosis and Paxlovid for ppl at risk for Covid. Still, this is hardly talked about. Healthcare is not on the agenda.
Read 19 tweets
Sep 12
#Swedish #Covid study confirming the detrimental long-term effects of the coronavirus on the immunesystem akin to #HIV
Can this finally persuade #Sweden to take this virus seriously? 😭🙏🏼 liu.se/en/news-item/s…
”The effects on the T cells of the immune system are interesting and mixed. Some of them are still activated long after the disease episode, while others are ‘fatigued’ and cannot function normally. We see similar effects on patients with a chronic HIV infection.”
”The question is: why are these effects still present after so long?”
🤔
@FreitasABR
Read 7 tweets
Aug 23
Autoantibodies & #LongCovid - It’s complicated 😓
@C_Scheibenbogen

”Several AABs correlated with symptom severity in Post Covid Syndrome groups.
Remarkably, severity of fatigue and vasomotor symptoms were associated with….” frontiersin.org/articles/10.33…
”ADRB2 AAB
levels in PCS/ME/CFS patients. Our study identified dysregulation of AAB against various receptors involved in the autonomous nervous system (ANS), vaso-, and immunoregulation & their correlation with symptom severity, pointing to their role in the pathogenesis of PCS”
”The most intriguing finding in our study is the correlations between the levels of several AABs with the severity of fatigue, and cognitive and immune symptoms in PCS/ME/CFS patients…”
Read 14 tweets
Aug 12
This is why people with #LongCovid experience brain damage 🧠

”Our data support the model in which SARS-CoV-2 reaches the brain, infects astrocytes, and consequently, leads to neuronal death or dysfunction.” pnas.org/doi/10.1073/pn…
”Our study demonstrates structural and functional alterations in the brain tissue of COVID-19 patients, which parallel in vivo findings of cortical atrophy, neuropsychiatric symptoms, and cognitive dysfunctions.”
”we also observed atrophy in the orbitofrontal area & cognitive dysfunction (longer time to perform Color Trail tests & poorer verbal memory task performance)…”
Read 30 tweets
Aug 11
Yet another study that shows microvascular damage & dysfunction in #LongCovid link.springer.com/article/10.100…
”COVID-19 leaves a persistent capillary rarefication even 18 months after infection. Whether, to what extent, and when the observed damage might be reversible remains unclear.”
”If capillary rarefaction were to persist, additional cardiovascular disease (e.g., diabetes, hypertension) will be less well compensated and become symptomatic much earlier. It therefore seems important to understand the mech- anisms of capillary rarefication in #LongCovid
Read 8 tweets
Aug 11
AGAIN - 🦠🦠🦠
“When comparing patients with post-COVID symptoms and patients without, we found that Spike protein and viral RNA were more likely to be present in patients with PASC and in some cases at higher levels compared to acute COVID-19 patients.” papers.ssrn.com/sol3/papers.cf…
#viralpersistence

“The levels of SARS-CoV-2 Spike protein in the plasma and EV samples were determined using the SAR-CoV-2 (2019-nCoV) Spike protein ELISA Kit according to the manufacturer instructions (SinoBiological).”
“We grouped PASC patients into PASC-positive (n=33) and PASC-negative (n=14).

When we examined the viral RNA copies in the plasma from PASC+ve and PASC-ve individuals, 28% of PASC-ve samples showed presence of viral RNA copies…”
Read 12 tweets

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