I’ve written a lot about post-infectious craniocervical instability—what I believe to have been the cause of my ME symptoms––as a kind of Grisel’s syndrome (hypothetically speaking). This paper has a great description of what Grisel’s syndrome is.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421956/
If my analogy is correct, it would probably mean that a lot of things we current believe to be true are not true. It would mean, for example, that craniocervical instability and atlantoaxial instability aren’t as rare as we think.
That both can develop or worsen in the adult population following infection, inflammation, trauma or just about anything that can damage connective tissue, including fluroquinolone antibiotics: https://link.medium.com/RbNetWNHT6 
There is a lot of fear around this topic: for those of us who have CCI and are severe, the only treatment at this time is a major surgery that carries some serious risks, that only a few surgeons can competently perform, and that is out of reach for most people.

But...
This paper underscores one of many reasons why researching this hypothesis is so important. If true, the Grisel’s syndrome analogy suggests some really simple clinical tools to prevent cervical instability (and possibly ME) following infection, with surgery as a last resort.
Since:
#COVID19 can affect the upper respiratory tract.
• AAI (and plausibly, CCI) can develop following URT infection,
• But can respond to early, conservative treatment.
• CCI/AAI can cause all the symptoms of ME*.
• Now might be a nice time to study this hypothesis.
Maybe it could help a lot of people avoid the hell that me @jeff_says_that @julierehmeyer @KSkarenscott @Lizzyyx_82 and many others have gone through before it even has to start.

(Thanks to the patient on FB who recommended the paper!)
*I know, I know. I don’t have the “receipts” (publications) connecting pathology to symptomatology. All we have right now is patient experience. The studies are coming—the pandemic is grinding a lot of medical research to a halt—but they are coming.
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