TABLE 1.
Abnormal symptoms | Emotional processing | Activation brain areas | References |
Stress/tremor Involuntary movement | Stressful/aggressive | Amygdala/LC-NE increased | Szaflarski et al., 2018 |
Myoclonus/seizure Jerk/twitch | Nervous/Fight-or-flight | Periaqueductal gray LC-NE increased | Aybek et al., 2015 |
Sensory changes Dry mouth Irritable bowel Urinary urgency | Nervous/Interoception | Left Heschl’s gyrus | Espay et al., 2018c |
Sleep disturbance Insomnia/hypersomnia | Aversive prediction error/Calm | Periaqueductal gray 5-HT changed | Aybek et al., 2015 |
Pain, dystonia headache tingling and numbness of arms and legs Cognitive changes Brain foggy Forgetfulness | Enhanced Somatic activity No motivation | Precentral Prefrontal Striatum DA activity decreased | Espay et al., 2018c,Sojka et al., 2019,Fiess et al., 2015,Blakemore et al., 2016,Espay et al., 2018b |
Poor concentration Depression Tiredness Dysphonia Stuttering | Nervous/Freezing | LC-NE/HPA axis decreased | Sojka et al., 2019 |
Limb weakness Paralysis Dropping things Uneven steps/drag leg knee buckling | Nervous/Freezing | LC-NE/HPA axis Decreased | Aybek et al., 2014,Morris et al., 2017,Aybek et al., 2014,Morris et al., 2017 |