{"id":17568,"date":"2018-07-31T15:00:46","date_gmt":"2018-07-31T15:00:46","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=17568"},"modified":"2018-07-31T15:06:09","modified_gmt":"2018-07-31T15:06:09","slug":"the-putative-glymphatic-signature-of-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/the-putative-glymphatic-signature-of-cfs\/","title":{"rendered":"The putative glymphatic signature of CFS"},"content":{"rendered":"<h3><a href=\"https:\/\/www.medical-hypotheses.com\/article\/S0306-9877(18)30548-6\/fulltext\" target=\"_blank\" rel=\"noopener\">The putative glymphatic signature of CFS: A new view on the disease pathogenesis and therapy<\/a>, by\u00a0Peter Wostyn,\u00a0Peter Paul De Deyn<span style=\"text-decoration: underline;\"> in<\/span>\u00a0<em>Medical Hypotheses<\/em> Sept 2018, Vol 118, Pages\u00a0142\u2013145<\/h3>\n<p><strong>Abstract:<\/strong><\/p>\n<p>The underlying pathophysiology of chronic fatigue syndrome remains incompletely understood and there are no curative treatments for this disorder at present. However, increasing neuroimaging evidence indicates that functional and structural abnormalities exist in the brains of chronic fatigue syndrome patients, suggesting that the central nervous system is involved in this disorder and that at least some chronic fatigue syndrome patients may have an underlying neurological basis for their illness.<\/p>\n<p>In the present paper, we speculate that <a href=\"https:\/\/en.wikipedia.org\/wiki\/Glymphatic_system\" target=\"_blank\" rel=\"noopener\">glymphatic dysfunction<\/a>, causing toxic build up within the central nervous system, may be responsible for at least some cases of chronic fatigue syndrome.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright wp-image-17572 size-full lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/glumphatic-system.jpg?resize=790%2C443\" alt=\"\" width=\"790\" height=\"443\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/glumphatic-system.jpg?w=790&amp;ssl=1 790w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/glumphatic-system.jpg?resize=150%2C84&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/glumphatic-system.jpg?resize=300%2C168&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/glumphatic-system.jpg?resize=768%2C431&amp;ssl=1 768w\" data-sizes=\"(max-width: 790px) 100vw, 790px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 790px; --smush-placeholder-aspect-ratio: 790\/443;\" \/><\/p>\n<p>We further postulate that cerebrospinal fluid diversion such as <a href=\"https:\/\/emedicine.medscape.com\/article\/1890515-overview?pa=4cO8mvjcTob082%2FS%2FJJsU3zjPHHAIPwMsxp%2FW3jMSuTPDmIfSB0SQTcT4M3OIE6KX8MwC0EECwzp432Skuf9qw%3D%3D\" target=\"_blank\" rel=\"noopener\">lumboperitoneal shunting<\/a> may be beneficial to this subgroup of patients by restoring glymphatic transport and waste removal from the brain. Although recent evidence indicates that at least some chronic fatigue syndrome patients may benefit from cerebrospinal fluid drainage, further studies are needed to confirm this finding and to determine whether this can be attributed to enhancement of glymphatic fluid flow and interstitial fluid clearance. If confirmed, this could offer promising avenues for the future treatment of chronic fatigue syndrome.<\/p>\n<p>Clearly, given the relative invasive nature of cerebrospinal fluid diversion, such procedures should be reserved for chronic fatigue syndrome patients who are severely debilitated, or for those with severe headaches. Anyhow, it seems worthwhile to make every effort to identify new therapies for patients who suffer from this devastating disease, especially given that there are currently no effective treatments for this condition.<\/p>\n<p><a href=\"https:\/\/sci-hub.tw\/10.1016\/j.mehy.2018.07.007\" target=\"_blank\" rel=\"noopener\">Read full article<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The putative glymphatic signature of CFS: A new view on the disease pathogenesis and therapy, by\u00a0Peter Wostyn,\u00a0Peter Paul De Deyn in\u00a0Medical Hypotheses Sept 2018, Vol 118, Pages\u00a0142\u2013145 Abstract: The underlying pathophysiology of chronic fatigue syndrome remains incompletely understood and there &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/the-putative-glymphatic-signature-of-cfs\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[230,229,4547,4550,4549,4548],"class_list":["post-17568","post","type-post","status-publish","format-standard","hentry","category-news","tag-central-nervous-system","tag-cns","tag-glymphatic-dysfunctioon","tag-lumboperitoneal-shunting","tag-peter-paul-de-deyn","tag-peter-wostyn"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-4zm","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/17568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=17568"}],"version-history":[{"count":4,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/17568\/revisions"}],"predecessor-version":[{"id":17575,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/17568\/revisions\/17575"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=17568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=17568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=17568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}