“…MR studies conducted in 2008–2009 have also shown abnormalities of baseline rCBF and responses of rCBF to cholinergic challenge in hippocampus and in amygdala and caudate (Li et al, 2011, Liu et al, 2011) in ill Gulf War veterans from this same cohort. The abnormal brain responses to heat stimuli found in this study (in veterans with Syn1 and Syn2) and data from other recent neuroimaging studies (Calley et al, 2010, Li et al, 2011, Liu et al, 2011) underscore that GWI is not a single homogeneous illness and lend support to the validity of the classification of three primary syndrome groups from factor analysis of symptoms (Haley and Kurt, 1997, Iannacchione, et al, 2011). Furthermore, the war-related brain damage in these ill veterans from the Persian Gulf War appears distinct from more general effects of PTSD (Li et al, 2011) and of chronic pain symptomatology as in FM.…”