Cerebral hypoperfusion

From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history

Cerebral hypoperfusion is inadequate blood flow to the brain.[1][2] Chronic cerebral hypoperfusion is linked to neurocognitive disorders.[2]

Orthostatic cerebral hypoperfusion syndrome[edit | edit source]

Novak (2016) states that orthostatic cerebral hypoperfusion syndrome (OCHOs) is defined by:

  1. abnormal orthostatic drop of cerebral blood flow velocity (CBFv) during the tilt test and
  2. absence of orthostatic hypotension, arrhythmia, vascular abnormalities, or other causes of abnormal orthostatic CBFv[3]

Prevalence[edit | edit source]

A study by Dutch scientists of 429 ME/CFS patients found that 90% of them had an abnormal cerebral blood flow reduction (i.e. cerebral hypoperfusion) during orthostatic stress testing.[4]

Symptom recognition[edit | edit source]

Notable studies[edit | edit source]

Possible causes[edit | edit source]

Orthostatic intolerance

See also[edit | edit source]

Learn more[edit | edit source]

References[edit | edit source]

  1. Merrian-Webster Medical Dictionary. "Medical Definition of HYPOPERFUSION". Merrian-Webster Dictionary. Retrieved April 28, 2020.
  2. 2.0 2.1 Ciacciarelli, Antonio; Sette, Giuliano; Giubilei, Franco; Orzi, Francesco (March 1, 2020). "Chronic cerebral hypoperfusion: An undefined, relevant entity" (PDF). Journal of Clinical Neuroscience. 73: 8–12. doi:10.1016/j.jocn.2020.01.026. ISSN 0967-5868.
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4754393/
  4. Clmc, van Campen; Fwa, Verheugt; Pc, Rowe; Fc, Visser (February 8, 2020). "Cerebral blood flow is reduced in ME/CFS during head-up tilt testing even in the absence of hypotension or tachycardia: A quantitative, controlled study using Doppler echography". Clinical neurophysiology practice. 5. doi:10.1016/j.cnp.2020.01.003. ISSN 2467-981X. PMC 7044650. PMID 32140630.
  5. Costa, D.C.; Tannock, C.; Brostoff, J. (November 1995). "Brainstem perfusion is impaired in chronic fatigue syndrome". QJM: monthly journal of the Association of Physicians. 88 (11): 767–773. ISSN 1460-2725. PMID 8542261.
  6. Miwa, Kunihisa; Inoue, Yukichi (September 2018). "The etiologic relation between disequilibrium and orthostatic intolerance in patients with myalgic encephalomyelitis (chronic fatigue syndrome)". Journal of Cardiology. 72 (3): 261–264. doi:10.1016/j.jjcc.2018.02.010. PMID 29588088.
  7. "visser van campen cfs cerebral - Search Results - PubMed". PubMed. Retrieved October 10, 2024.