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. 2021 Feb 15;9:633048. doi: 10.3389/fcell.2021.633048

TABLE 1.

Emotional processing in FND.

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