Objective. To use a combination of magnetic resonance diffusion-tensor imaging (MR-DTI) and MR imaging of voxel-based morphometry (MR-VBMFibromyalgia syndrome (FMS) belongs to a group of common functional somatic syndromes that are characterized by chronic widespread pain and are often accompanied by functional disturbance (dizziness, vertigo, palpitations, and peripheral edema) in different organ systems and symptoms of sleep disturbance, anxiety, memory problems, fatigue, and exhaustion. Because of the association between FMS development and severe organic illness, accidents, or stressful life events, FMS has also been regarded as a stress-related disorder (1). The combination of chronic widespread pain, sleep disturbance, and pronounced and ongoing stress symptoms is highly disabling, yet there is no universally effective treatment, and the pathophysiologic features of FMS are incompletely understood. Although this disorder has frequently been described as musculoskeletal or Supported by funds from the Departments of Anaesthesiology and Radiology, Klinikum Grosshadern, Ludwig-Maximilians University.