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Chiari's Syndrome
This may be the cause of chronic fatigue for people in their teens and 20s.
In some cases, chronic fatigue can be caused by pressure on the nerves in the neck or the base of the brain. The name for this is "Chiari's Syndrome". It is genetic malformation at the base of the skull. Surgery may be able to correct the condition.
Chiari's Syndrome is a genetic condition in which a malformation at the base of the skull presses on the base of the brain causing chronic fatigue. It usually shows up by the late teen years.
Chiari's syndrome was first described by Dr. Chiari over 100 years ago. It can cause chronic fatigue in some people. Other neck injuries can also cause fatigue. If you have neck problems, you may want to consult a reputable neurosurgeon and get an MRI. If your CFS began in your teens or early twenties, it may be worthwhile to investigate this.
Chiari and other neck problems are being diagnosed with greater accuracy these days. Many neck injuries do not show up on X-ray. It was not until recent years and the availability of MRIs that a good diagnostic tool was available.
It is difficult to know who will benefit from surgery and who won't. There are a number of different possible procedures and it has been difficult to know which one to use. Great advances have been made in this area in the last year and even in the last few months alone. Several studies have been published which shed much light on these issues.....
it's a b rave new world regarding fibromyalgia /chronic fatigue syndrome..
imho....everything depends on how debilitated you are right now.. vs what could happen if the surgery goes wrong... 
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