1. Myalgic encephalomyelitis Adine Elisabeth Nåvik Torhild Kaald

2.  A complex neurologic disorder – unknown cause  Not yet classified as a biological disease What is it?

3.  Most typical – post-exertional malaise  Influenza-like symptomes  Orthostatic intolerance  Neurological/cognitive manifestations  Muscle and/or joint pain  Sleep dysfunction  70% gets the disorder after an infection Symptoms

4.  Is very difficult to diagnose  Depression  Canada-criteria  4 degrees of severity: -Mild -Moderate -Severe -Very severe Diagnosis

5.  Difficult to give exact numbers because of different diagnose criteria  All nationalities  All ages, but more frequently from age 40-59  Bot genders, but predominantly females  About 15 000 people in Norway, but probably much higher number Statistics

6.  Treatment of symptomes  Lot of disagreement  Lightning process  Different treatment works on different patients Treatment

7.  New study from Standford medical in California (2014)  Diffusion-tensor imaging of the brain  Abnormality in the brain in the right arcuate fasciculus (may be used for diagnosis)  Total amount of white matter in the right hemisphere is less than in healthy people  Another study in Bergen, Norway (2011 - )  Rituximab – cancer medication, shows good results in some cases Latest research

8.  Wrongly diagnosed  Laziness  Human nature Peoples perceptions

9. Questions

10.  http://me-foreningen.com http://me-foreningen.com  http://www.youtube.com/watch?v=ZgAa-l-N1Eg http://www.youtube.com/watch?v=ZgAa-l-N1Eg  http://pubs.rsna.org/doi/abs/10.1148/radiol.14141079 http://pubs.rsna.org/doi/abs/10.1148/radiol.14141079  http://www.meassociation.org.uk/about/what-is-mecfs/ http://www.meassociation.org.uk/about/what-is-mecfs/  http://tidsskriftet.no/article/1072526/ http://tidsskriftet.no/article/1072526/  http://www.serendipitycat.no/wp- content/uploads/2011/12/Erfaringskonferansen- DrBaumgarten.pdf http://www.serendipitycat.no/wp- content/uploads/2011/12/Erfaringskonferansen- DrBaumgarten.pdf  http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/ Chronic_fatigue_syndrome  http://en.wikipedia.org/wiki/Chronic_fatigue_syndrome Sources