Brain Fog: How To Bring Clarity To Your Thoughts

Brain Fog is a common problem for patients suffering with chronic pain and chronic fatigue.  Only recently has it become an area of discussion in the scientific literature, and there is no set consensus on how to treat it.  However, in today’s broadcast we will discuss how Brain Fog relates to conditions such as Fibromyalgia, Chronic Fatigue Syndrome, Postural Orthostatic Tachycardia Syndrome, Autism, Celiac Disease, Mastocytosis, and Minimal Cognitive Impairment to name a few.  We will discuss the newest research discussing certain types of inflammation associated with brain fog, and potential therapies on the horizon.
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1.What is brain fog? An evaluation of the symptom in postural tachycardia syndrome.
Ross AJ, Medow MS, Rowe PC, Stewart JM.
Clin Auton Res. 2013 Dec;23(6):305-11. doi: 10.1007/s10286-013-0212-z. Epub 2013 Sep 3.
PMID: 23999934 [PubMed – indexed for MEDLINE] Free PMC Article
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2.Brain “fog,” inflammation and obesity: key aspects of neuropsychiatric disorders improved by luteolin.
Theoharides TC, Stewart JM, Hatziagelaki E, Kolaitis G.
Front Neurosci. 2015 Jul 3;9:225. doi: 10.3389/fnins.2015.00225. eCollection 2015. Review.
PMID: 26190965 [PubMed] Free PMC Article
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3.Caught in the thickness of brain fog: exploring the cognitive symptoms of Chronic Fatigue Syndrome.
Ocon AJ.
Front Physiol. 2013 Apr 5;4:63. doi: 10.3389/fphys.2013.00063. eCollection 2013.
PMID: 23576989 [PubMed] Free PMC Article
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4.Lupus brain fog: a biologic perspective on cognitive impairment, depression, and fatigue in systemic lupus erythematosus.
Mackay M.
Immunol Res. 2015 Dec;63(1-3):26-37. doi: 10.1007/s12026-015-8716-3.
PMID: 26481913 [PubMed – in process]
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5.A proposed mechanism for chemotherapy-related cognitive impairment (‘chemo-fog’).
Raffa RB.
J Clin Pharm Ther. 2011 Jun;36(3):257-9. doi: 10.1111/j.1365-2710.2010.01188.x. Epub 2010 Aug 24.
PMID: 21545608 [PubMed – indexed for MEDLINE] Free PMC Article
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6.Is a picture worth a thousand (forgotten) words?: neuroimaging evidence for the cognitive deficits in ‘chemo-fog’/’chemo-brain’.
Raffa RB.
J Clin Pharm Ther. 2010 Feb;35(1):1-9. doi: 10.1111/j.1365-2710.2009.01044.x.
PMID: 20175809 [PubMed – indexed for MEDLINE]
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7.Cognitive impairment in coeliac disease improves on a gluten-free diet and correlates with histological and serological indices of disease severity.
Lichtwark IT, Newnham ED, Robinson SR, Shepherd SJ, Hosking P, Gibson PR, Yelland GW.
Aliment Pharmacol Ther. 2014 Jul;40(2):160-70. doi: 10.1111/apt.12809. Epub 2014 May 28.
PMID: 24889390 [PubMed – indexed for MEDLINE] Free Article
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8.Chemo brain (chemo fog) as a potential side effect of doxorubicin administration: role of cytokine-induced, oxidative/nitrosative stress in cognitive dysfunction.
Aluise CD, Sultana R, Tangpong J, Vore M, St Clair D, Moscow JA, Butterfield DA.
Adv Exp Med Biol. 2010;678:147-56. Review.
PMID: 20738017 [PubMed – indexed for MEDLINE]
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9.Fibrofog and fibromyalgia: a narrative review and implications for clinical practice.
Kravitz HM, Katz RS.
Rheumatol Int. 2015 Jul;35(7):1115-25. doi: 10.1007/s00296-014-3208-7. Epub 2015 Jan 13.
PMID: 25583051 [PubMed – in process]
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10.Cross-sectional neurocognitive data do not support a transition from fibrofog to Alzheimer disease in fibromyalgia patients.
Leavitt F, Katz RS.
J Clin Rheumatol. 2015 Mar;21(2):81-5. doi: 10.1097/RHU.0000000000000213.
PMID: 25710859 [PubMed – indexed for MEDLINE]
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11.Characterizing “fibrofog”: Subjective appraisal, objective performance, and task-related brain activity during a working memory task.
Walitt B, ?eko M, Khatiwada M, Gracely JL, Rayhan R, VanMeter JW, Gracely RH.
Neuroimage Clin. 2016 Feb 2;11:173-80. doi: 10.1016/j.nicl.2016.01.021. eCollection 2016.
PMID: 26955513 [PubMed – in process] Free PMC Article
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12.Exercise, fibromyalgia, and fibrofog: a pilot study.
Etnier JL, Karper WB, Gapin JI, Barella LA, Chang YK, Murphy KJ.
J Phys Act Health. 2009 Mar;6(2):239-46.
PMID: 19420402 [PubMed – indexed for MEDLINE]
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13.The prevalence and clinical impact of reported cognitive difficulties (fibrofog) in patients with rheumatic disease with and without fibromyalgia.
Katz RS, Heard AR, Mills M, Leavitt F.
J Clin Rheumatol. 2004 Apr;10(2):53-8.
PMID: 17043464 [PubMed]
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14.Cognitive and dissociative manifestations in fibromyalgia.
Leavitt F, Katz RS, Mills M, Heard AR.
J Clin Rheumatol. 2002 Apr;8(2):77-84.
PMID: 17041327 [PubMed]
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15.[Cognitive impairment in patients suffering from fibromyalgia. An underestimated problem].
Schmidt-Wilcke T, Wood P, Lürding R.
Schmerz. 2010 Feb;24(1):46-53. doi: 10.1007/s00482-009-0872-8. Review. German.
PMID: 20108102 [PubMed – indexed for MEDLINE]
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16.Fibromyalgia and cognition.
Glass JM.
J Clin Psychiatry. 2008;69 Suppl 2:20-4. Review.
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17.Perceived dyscognition reported by patients with fibromyalgia.
McAllister SJ, Toussaint LL, Williams DA, Hoskin TL, Whipple MO, Vincent A.
Clin Exp Rheumatol. 2016 Feb 26. [Epub ahead of print]
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18.Fibromyalgia dyscognition: concepts and issues.
Ambrose KR, Gracely RH, Glass JM.
Reumatismo. 2012 Sep 28;64(4):206-15. doi: 10.4081/reumatismo.2012.206. Review.
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19.A Comparison of Fibromyalgia Symptoms in Patients with Healthy versus Depressive, Low and Reactive Affect Balance Styles.
Toussaint LL, Vincent A, McAllister SJ, Oh TH, Hassett AL.
Scand J Pain. 2014 Mar 1;5(3):161-166.
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20.Postural control deficits in people with fibromyalgia: a pilot study.
Jones KD, King LA, Mist SD, Bennett RM, Horak FB.
Arthritis Res Ther. 2011 Aug 2;13(4):R127. doi: 10.1186/ar3432.
PMID: 21810264 [PubMed – indexed for MEDLINE] Free PMC Article
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21.Effectiveness of cognitive behavioral therapy in the treatment of fibromyalgia syndrome: a meta-analytic literature review.
Minelli A, Vaona A.
Reumatismo. 2012 Jul 19;64(3):151-7. doi: 10.4081/reumatismo.2012.151.
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22.Review of cognitive dysfunction in fibromyalgia: a convergence on working memory and attentional control impairments.
Glass JM.
Rheum Dis Clin North Am. 2009 May;35(2):299-311. doi: 10.1016/j.rdc.2009.06.002. Review.
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23.An assessment of fatigue in patients with postural orthostatic tachycardia syndrome.
Wise S, Ross A, Brown A, Evans M, Jason L.
J Health Psychol. 2015 Nov 4. pii: 1359105315613624. [Epub ahead of print]
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24.Classification of myalgic encephalomyelitis/chronic fatigue syndrome by types of fatigue.
Jason LA, Boulton A, Porter NS, Jessen T, Njoku MG, Friedberg F.
Behav Med. 2010 Jan-Mar;36(1):24-31. doi: 10.1080/08964280903521370.
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25.Distraction as a key determinant of impaired memory in patients with fibromyalgia.
Leavitt F, Katz RS.
J Rheumatol. 2006 Jan;33(1):127-32.
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26.A case of chronic progressive lyme encephalitis as a manifestation of late lyme neuroborreliosis.
Verma V, Roman M, Shah D, Zaretskaya M, Yassin MH.
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27.Exercise challenge in Gulf War Illness reveals two subgroups with altered brain structure and function.
Rayhan RU, Stevens BW, Raksit MP, Ripple JA, Timbol CR, Adewuyi O, VanMeter JW, Baraniuk JN.
PLoS One. 2013 Jun 14;8(6):e63903. doi: 10.1371/journal.pone.0063903. Print 2013.
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