Journal of Translational Medicine (Nov 2021)

An attempt to explain the neurological symptoms of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

  • Klaus J. Wirth,
  • Carmen Scheibenbogen,
  • Friedemann Paul

DOI
https://doi.org/10.1186/s12967-021-03143-3
Journal volume & issue
Vol. 19, no. 1
pp. 1 – 8

Abstract

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Abstract There is accumulating evidence of endothelial dysfunction, muscle and cerebral hypoperfusion in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). In this paper we deduce the pathomechanisms resulting in central nervous pathology and the myriad of neurocognitive symptoms. We outline tentative mechanisms of impaired cerebral blood flow, increase in intracranial pressure and central adrenergic hyperactivity and how they can well explain the key symptoms of cognitive impairment, brain fog, headache, hypersensitivity, sleep disturbances and dysautonomia.

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