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Chronic Fatigue Syndrome/Myalgic Encephalomyelitis

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Nuclear Medicine in Psychiatry

Abstract

Chronic fatigue syndrome and myalgic encephalomyelitis are classified as two distinct illnesses in the World Health Organization’s International Classification of Diseases. However, they are indistinct and comprise a series of debilitating symptoms, mainly fatigue, impaired cognition (memory difficulties) and sleep disturbances. There are still those who do not believe that this condition deserves a full credit as an independent disease entity. No biological markers have been identified and pathophysiology is uncertain. There are no objective brain abnormalities identified specific to CFS/ME. Brainstem hypoperfusion and other perfusion and metabolic abnormalities observed with functional brain imaging need further confirmation and evaluation. Success of therapeutic measures is doubtful. Further studies with more specific markers of neurotransmitter systems are warranted.

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References

  • Afari N, Buchwald D (2003) Chronic fatigue syndrome: a review. Am J Psychiatry 160:221–236

    Article  PubMed  Google Scholar 

  • Behan PO, Behan WMH, Bell EJ (1985) The postviral fatigue syndrome — an analysis of the findings in 50 cases. J Infect 10:211–222

    Article  PubMed  CAS  Google Scholar 

  • Buchwald D, Cheney PR, Peterson DL et al (1992) A chronic illness characterised by fatigue, neurologic, and immunologic disorders, and active human herpes virus type 6 infection. Ann Intern Med 116:103–113

    PubMed  CAS  Google Scholar 

  • CFS/ME Working Group (2002) Report of the CFS/ME Working Group, UK 2002 http://www.doh.gov.uk/cmo/cfsmereport/index.htm

  • Chaudhuri A, Condon BR, Gow JW, Brennan D, Hadley DM (2003) Proton magnetic resonance spectroscopy of basal ganglia in chronic fatigue syndrome. NeuroReport 14:225–228

    Article  PubMed  CAS  Google Scholar 

  • Costa DC, Brostoff J, Douli V, Ell PJ (1992a) Postviral fatigue syndrome. Br Med J 304:1567

    Article  CAS  Google Scholar 

  • Costa DC, Brostoff J, Douli V, Ell PJ (1992b) Brainstem hypoperfusion in patients with myalgic encephalomyelitis — chronic fatigue syndrome. Eur J Nucl Med 19:733

    Google Scholar 

  • Costa DC, Tannock C, Brostoff J (1995) Brainstem perfusion is impaired in chronic fatigue syndrome. Quart J Med 88:767–773

    CAS  Google Scholar 

  • Fischler B, D’Haenen H, Cluydts R, Michiels V, Demets K, Bossuyt A, Kaufman L, de Meirleir K (1996) Comparison of 99mTc HMPAO SPECT scan between chronic fatigue syndrome, major depression and healthy controls: an exploratory study of clinical correlates of regional cerebral blood flow. Neuropsychobiology 34:175–183

    Article  PubMed  CAS  Google Scholar 

  • Fukuda K, Straus S, Hickie I et al (1994) The chronic fatigue syndrome. A comprehensive approach to its definition and study. Ann Intern Med 121:953–959

    PubMed  CAS  Google Scholar 

  • Greco A, Tannock C, Brostoff J, Costa DC (1997) Brain MR in chronic fatigue syndrome. AJNR 18:1265–1269

    CAS  Google Scholar 

  • Holmes G, Kaplan J, Gantz N et al (1988) Chronic fatigue syndrome: a working case definition. Ann Intern Med 108:387–389

    PubMed  CAS  Google Scholar 

  • Ichise M, Salit IE, Abbey SE, Chung DG, Gray B, Kirsh JC, Freedman M (1992) Assessment of regional cerebral perfusion by 99Tcm-HMPAO SPECT in chronic fatigue syndrome. Nucl Med Commun 13:767–772

    PubMed  CAS  Google Scholar 

  • Kendell RE (1991) Chronic fatigue, viruses, and depression. Lancet 337:160–162

    Article  PubMed  CAS  Google Scholar 

  • Lloyd AR, Hickie I, Peterson PK et al (1999) Chronic fatigue syndrome: current concepts of pathogenesis and treatment. Curr Clin Top Infect Dis 19:135–159

    PubMed  CAS  Google Scholar 

  • Machale SM, Lawrie SM, Cavanagh JTO, Glabus MF, Murray CL, Goodwin GM, Ebmeier KP (2000) Cerebral perfusion in chronic fatigue syndrome. Br J Psychiatry 176:550–556

    Article  PubMed  CAS  Google Scholar 

  • Neeley SP, Cross AJ, Crown TJ et al (1985) Herpes simplex virus encephalitis, neuroanatomical and neurochemical selectivity. J Neurol Sei 71:325–337

    Article  CAS  Google Scholar 

  • Ramsay M (1998) Myalgie encephalomyelitis and post fatigue states — the saga of Royal Free disease. Gower Medical, London, for the ME Association

    Google Scholar 

  • Reeves WC, Stamey FR, Black JB, Mawle AC, Stewart JA, Pellett PE (2000) Human herpesviruses 6 and 7 in chronic fatigue syndrome: a case-control study. Clin Infect Dis 31:48–52

    Article  PubMed  CAS  Google Scholar 

  • Sharpe M, Archard L, Banatvala J et al (1991) Guidelines for the conduct of research into the chronic fatigue syndrome. J R Soc Med 84:118–121

    PubMed  CAS  Google Scholar 

  • Schwartz RB, Komaroff AL, Garada BM et al (1994) SPECT imaging of the brain: comparison of findings in patients with chronic fatigue syndrome, AIDS dementia complex, and major unipolar depression. Am J Radiol 162:943–951

    CAS  Google Scholar 

  • Siessmeier T, Nix WA, Hardt J, Schreckenberger M, Egle UT, Bartenstein P (2003) Observer independent analysis of cerebral glucose metabolism in patients with chronic fatigue syndrome. J Neurol Neurosurg Psychiatry 74:922–928

    Article  PubMed  CAS  Google Scholar 

  • Tirelli U, Chierichetti F, Tavio M, Simonelli C, Bianchin G, Zanco P, Ferlin G (1998) Brain positron emission tomography (PET) in chronic fatigue syndrome: preliminary data. Am J Med 105:54S–58S

    Article  PubMed  CAS  Google Scholar 

  • World Health Organization (1994) International statistical classification of diseases and related health problems. WHO, Geneva

    Google Scholar 

  • World Health Organization (2001) The World Health Report 2001. Mental health: new understanding, new hope. WHO, Geneva

    Google Scholar 

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© 2004 Springer-Verlag Berlin Heidelberg

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Costa, D.C., Greco, A. (2004). Chronic Fatigue Syndrome/Myalgic Encephalomyelitis. In: Otte, A., Audenaert, K., Peremans, K., van Heeringen, K., Dierckx, R.A. (eds) Nuclear Medicine in Psychiatry. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18773-5_17

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  • DOI: https://doi.org/10.1007/978-3-642-18773-5_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62287-8

  • Online ISBN: 978-3-642-18773-5

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