We saw that many of our patients with PT had a diverticulum or were missing bone over the sigmoid sinus, which is just downstream from the transverse sinuses. Because CT scans have shown that this sigmoid sinus dehiscence can cause PT, we started doing operations to reconstruct the sigmoid sinus or reduce the diverticulum
It can affect multiple organ systems, including respiratory, cardiovascular, neurological, musculoskeletal and immunological, with the constellation of more than 200 possible symptoms varying from person to person and commonly including debilitating fatigue
Combined, the results are faster and more durable than either protocol alone
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