Understanding the Skull-Meninges-Brain Axis and Multifocal Meningoencephalitis
Introduction In early 2022, as I struggled with persistent headaches, partial memory lapses, confusion, neck pain, ringing in my left ear, and a loss of color vision in my left eye, a troubling question began to form in my mind: Could COVID-19 affect the brain? When I turned to medical professionals for answers about my symptoms, I was met with reassurances like, “That’s not possible—neither COVID-19 nor mRNA vaccines can cross the blood-brain barrier (BBB) to affect the brain. Fast forward to today, and we now know that both COVID-19 and the mRNA vaccines can indeed interact with the brain, potentially breaching the BBB. Yet, despite this recognition, a clear understanding of how these neurological effects occur—and, more importantly, how to effectively address them—remains elusive. The skull-meninges-brain axis refers to the intricate relationship between the skull, meninges (protective layers surrounding the brain and spinal cord), and the brain itself. These structures work toget...