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MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME

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146<br />

The hypothalamus of <strong>ME</strong>/CFS patients shows functional abnormalities different from those <strong>in</strong> depressed patients. Our<br />

data suggest that bra<strong>in</strong>stem hypoperfusion <strong>in</strong> <strong>ME</strong>/CFS patients could be due to an organic abnormality” (DC Costa<br />

et al; Q J Med 1995:88:767‐773).<br />

1995<br />

“Many neurological diseases produce symptoms of <strong>in</strong>tense fatigue and muscle pa<strong>in</strong>. Abnormalities <strong>in</strong> cerebral<br />

perfusion were seen on visual report<strong>in</strong>g of the SPECT images <strong>in</strong> more than half of the patients with (<strong>ME</strong>)CFS.<br />

Perfusion defects were not consistently localised to any one region of the bra<strong>in</strong>, be<strong>in</strong>g found <strong>in</strong> the frontal, temporal,<br />

occipital and parietal regions, nor were the defects always unilateral. (<strong>ME</strong>)CFS is an established, severe and<br />

debilitat<strong>in</strong>g illness. We have found visual evidence of cerebral perfusion defects <strong>in</strong> all regions of the bra<strong>in</strong>. This is<br />

confirmed by the objective quantitative analysis which demonstrates that there is a greater variability <strong>in</strong> perfusion<br />

pattern of patients with (<strong>ME</strong>)CFS compared to normal subjects” (J Patterson et al; EOS‐ J Immunol<br />

Immunopharmacol 1995:XV:1‐2:53‐58).<br />

1998<br />

D Di Giuda, G Racciatti et al found that “(<strong>ME</strong>)CFS is a severely disabl<strong>in</strong>g illness. Regional bra<strong>in</strong> perfusion<br />

impairment (ma<strong>in</strong>ly hypoperfusion) was found <strong>in</strong> 83.9% of (<strong>ME</strong>)CFS patients. This study confirmed<br />

previous reports of bra<strong>in</strong> perfusion impairment <strong>in</strong> (<strong>ME</strong>)CFS, provid<strong>in</strong>g objective evidence of central nervous<br />

system dysfunction”. (“Bra<strong>in</strong> SPET <strong>in</strong> Chronic Fatigue Syndrome”: Fourth AACFS International Research &<br />

Cl<strong>in</strong>ical Conference, Mass: USA).<br />

2001<br />

Cook DB, Natelson BH et al from the Department of Neurosciences, New Jersey Medical School, reported:<br />

“Some have suggested that (<strong>ME</strong>)CFS is a ‘functional somatic syndrome’ <strong>in</strong> which symptoms are <strong>in</strong>appropriately<br />

attributed to a serious illness. However, bra<strong>in</strong> magnetic resonance imag<strong>in</strong>g (MRI) data suggest that there may be an<br />

organic abnormality associated with (<strong>ME</strong>)CFS. (Our) results demonstrate that the presence of bra<strong>in</strong> abnormalities <strong>in</strong><br />

(<strong>ME</strong>)CFS are significantly related to subjective reports of physical function and that (<strong>ME</strong>)CFS subjects with MRI<br />

bra<strong>in</strong> abnormalities report be<strong>in</strong>g more physically impaired than those without bra<strong>in</strong> abnormalities” (Int J Neurosci<br />

2001:107(1‐2):1‐6).<br />

2002<br />

A study by Puri et al tested the hypothesis that (<strong>ME</strong>)CFS is associated with altered cerebral metabolite <strong>in</strong> the<br />

frontal and occipital cortices and concluded: “Our results suggest that there may be an abnormality of<br />

phospholipid metabolism <strong>in</strong> the bra<strong>in</strong> <strong>in</strong> (<strong>ME</strong>)CFS” (Acta Psychiatr Scand 2002:106(3):224‐226). As Dr Charles<br />

Shepherd, Medical Advisor to the <strong>ME</strong> Association, commented: “These results add further weight to recently<br />

reported perfusion studies which suggest that there may be pathophysiological abnormalities <strong>in</strong> the cerebral cortex of<br />

<strong>ME</strong>/CFS patients” (Co‐Cure <strong>ME</strong>D: 30 th August 2002).<br />

2002<br />

Researchers <strong>in</strong> Japan (Kuratsune et al) reported that their f<strong>in</strong>d<strong>in</strong>gs “suggest that the levels of biosynthesis of<br />

neurotransmitters through acetylcarnit<strong>in</strong>e might be reduced <strong>in</strong> some bra<strong>in</strong> regions of (<strong>ME</strong>)CFS patients”<br />

(NeuroImage 2002:17(3):1256‐1265).<br />

2003<br />

Us<strong>in</strong>g proton magnetic resonance spectroscopy to study the metabolic functions of the basal ganglia <strong>in</strong><br />

(<strong>ME</strong>)CFS patients, Chaudhuri et al reported: “A highly significant <strong>in</strong>crease <strong>in</strong> the spectra from chol<strong>in</strong>e‐conta<strong>in</strong><strong>in</strong>g<br />

compounds was seen <strong>in</strong> the (<strong>ME</strong>)CFS patient group” (Neuroreport 2003:14(2):225‐228).

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