Relative increase in choline in the occipital cortex in chronic fatigue syndrome

B K Puri, S J Counsell, R Zaman, J Main, A G Collins, J V Hajnal, N J Davey

Research output: Contribution to journalArticlepeer-review

69 Citations (Scopus)

Abstract

Objective: To test the hypothesis that chronic fatigue syndrome (CFS) is associated with altered cerebral metabolites in the frontal and occipital cortices.

Method: Cerebral proton magnetic resonance spectroscopy (H-1 MRS) was carried out in eight CFS patients and eight age- and sex-matched healthy control subjects. Spectra were obtained from 20 x 20 x 20 mm(3) voxels in the dominant motor and occipital cortices using a point-resolved spectroscopy pulse sequence.

Results: The mean ratio of choline (Cho) to creatine (Cr) in the occipital cortex in CFS (0.97) was significantly higher than in the controls (0.76; P =0.008). No other metabolite ratios were significantly different between the two groups in either the frontal or occipital cortex. In addition, there was a loss of the normal spatial variation of Cho in CFS.

Conclusion: Our results suggest that there may be an abnormality of phospholipid metabolism in the brain in CFS.

Original languageEnglish
Pages (from-to)224-226
Number of pages3
JournalActa Psychiatrica Scandinavica
Volume106
Issue number3
Publication statusPublished - Sept 2002

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