Neurological fatigue

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Neurological fatigue. Dysfunction of the hypothalamo-pituitary-adrenal (HPA) axis, Impaired astroglial metabolism. Fully referenced neurology checklist.

Possible pathophysiological mechanisms

  • Proinflammatory cytokines: TNF-alpha, interleukin 1β and interleukin 6
  • Dysfunction of the hypothalamo-pituitary-adrenal (HPA) axis
  • Impaired astroglial metabolism
  • Reduced noradrenaline and serotonin levels

Central causes

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Peripheral causes

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Factors that may worsen fatigue

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Differential diagnosis

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Non-drug treatments

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Drug treatments

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References

  1. Brola W, Ziomek M, Czernicki J.Fatigue syndrome in chronic neurological disorders. Neurol Neurochir Pol 2007; 41:340-349.
  2. Chaudhuri A, Behan PO. Fatigue in neurological disorders. Lancet 2004; 363:978-988.

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