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Science
08 August 2024

NIH Research Digs Deep Into Mystery Of Havana Syndrome

Extensive study reveals no clear brain injury links, yet symptoms persist for affected government personnel

Over the past few years, numerous reports of puzzling health incidents among U.S. government personnel have baffled both scientists and policymakers. These incidents, commonly referred to as “Havana Syndrome,” were initially reported by diplomats stationed in Cuba and have elicited widespread concern. A group of researchers at the National Institutes of Health (NIH) decided to investigate the mystery surrounding these symptoms, employing advanced imaging techniques and clinical assessments to get to the bottom of it all.

After nearly five years of thorough research, the team has released findings indicating no significant evidence of MRI-detectable brain injuries or biological abnormalities among those affected. "Our goal was to conduct thorough, objective and reproducible evaluations to see if we could identify structural brain or biological differences in people who reported anomalous health incidents (AHIs)," said Dr. Leighton Chan, the chief of rehabilitation medicine at NIH Clinical Center and the lead author of one of the published papers.

The research involved more than 80 U.S. officials and their family members who reported these puzzling health episodes, which included symptoms like hearing unusual noises, experiencing head pressure, headaches, dizziness, and cognitive dysfunction. Importantly, these participants were compared with matched, healthy controls who hadn’t reported similar symptoms.

The study featured comprehensive evaluations, assessing various factors, from auditory and balance tests to neuropsychological evaluations and numerous MRI scans. These scans aimed to check for any volume, structure, or functional abnormalities within the brain.

Interestingly, researchers employed innovative techniques, including what is known as deep phenotyping—this involves analyzing observable traits or biochemical characteristics of individuals—to correlate clinically reported symptoms with neuroimaging findings. Despite such thorough methodologies, the results were quite surprising; researchers couldn’t find any consistent abnormalities between those affected by AHIs and those who were deemed healthy.

Dr. Carlo Pierpaoli, another key researcher and chief of the Laboratory on Quantitative Medical Imaging at NIH, emphasized the significance of these results. He stated, "A lack of evidence for an MRI-detectable difference between individuals with AHIs and controls does not exclude the possibility of some adverse event having impacted the brain." He added, "It is possible...the injury did not produce the long-term changes we typically observe after severe trauma." This leaves open the intriguing notion: could these individuals have experienced some sort of transient event?

There was some noteworthy distinction between the two groups. Participants reporting AHIs primarily self-reported significant symptoms such as fatigue, depression, and post-traumatic stress. Alarmingly, 41% of those who said they experienced AHIs met the criteria for functional neurological disorders—these illnesses often involve abnormal functioning of the nervous system without identifiable physical damage.

Further complicate the picture, the study found symptoms like persistent postural-perceptual dizziness, marked by non-spinning vertigo and unsteadiness especially triggered by environmental factors, among those reporting AHIs.

Dr. Louis French, who worked alongside Dr. Chan on the research, reported, "The post-traumatic stress and mood symptoms are not surprising considering the disruption to their lives and continued concerns about their health and future." He expressed the emotional burden many participants carry, reiteriating just how impactful these incidents are on their daily lives.

While the findings might be reassuring concerning severe neurodegenerative conditions, the researchers posit there could be external factors at play, potentially undetectable with current methodologies and sample sizes. This adds another layer of complexity to the already puzzling nature of these reported incidents.

NIH's dedication to unraveling the cause and effects of reported anomalous health incidents doesn’t stop with this latest research. They continue to explore connections between AHI symptoms and various external factors, seeking to provide relief and clarity to those affected.

The NIH Clinical Center operates under the guidance of the National Institutes of Health, which itself is the nation’s central agency conducting and supporting medical research. This recent study highlights how the NIH integrates innovative methods within its clinical research to advance medicine and public health, all aimed at translating lab discoveries to meaningful treatments for health concerns.

While the Havana Syndrome investigation is still very much alive, the NIH findings provide important insights and suggest the path forward. Ongoing research is expected to deepen our comprehension of these mysterious health incidents, reassuring affected personnel as work continues on the best ways to support them through recovery.

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