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Neural correlates of conversion disorder: overview and meta-analysis of neuroimaging studies on motor conversion disorder.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Liegl, Gregor 
Jank, Robert 
Pieh, Christoph 

Abstract

BACKGROUND: Conversion Disorders (CD) are prevalent functional disorders. Although the pathogenesis is still not completely understood, an interaction of genetic, neurobiological, and psychosocial factors is quite likely. The aim of this study is to provide a systematic overview on imaging studies on CDs and investigate neuronal areas involved in Motor Conversion Disorders (MCD). METHODS: A systematic literature search was conducted on CD. Subsequently a meta-analysis of functional neuroimaging studies on MCD was implemented using an Activation Likelihood Estimation (ALE). We calculated differences between patients and healthy controls as well as between affected versus unaffected sides in addition to an overall analysis in order to identify neuronal areas related to MCD. RESULTS: Patients with MCD differ from healthy controls in the amygdala, superior temporal lobe, retrosplenial area, primary motor cortex, insula, red nucleus, thalamus, anterior as well as dorsolateral prefrontal and frontal cortex. When comparing affected versus unaffected sides, temporal cortex, dorsal anterior cingulate cortex, supramarginal gyrus, dorsal temporal lobe, anterior insula, primary somatosensory cortex, superior frontal gyrus and anterior prefrontal as well as frontal cortex show significant differences. CONCLUSIONS: Neuronal areas seem to be involved in the pathogenesis, maintenance or as a result of MCD. Areas that are important for motor-planning, motor-selection or autonomic response seem to be especially relevant. Our results support the emotional unawareness theory but also underline the need of more support by conduction imaging studies on both CD and MCD.

Description

Keywords

Hysteria, Meta-analysis, Motor conversion disorder, Neuroimaging, Neurology, Brain, Conversion Disorder, Emotions, Humans, Magnetic Resonance Imaging, Neuroimaging

Journal Title

BMC Psychiatry

Conference Name

Journal ISSN

1471-244X
1471-244X

Volume Title

16

Publisher

Springer Science and Business Media LLC