Evidence map›Paper›PMID 28529870›Full record

ArticleNeuroImage. Clinical2017

Symptom-specific amygdala hyperactivity modulates motor control network in conversion disorder.

Thomas Hassa, Alexandra Sebastian, Joachim Liepert, Cornelius Weiller, Roger Schmidt, Oliver Tüscher

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07059325 (Accelerated, Left Prefrontal Transcranial Magnetic Stimulation for Functional Seizures; An Open-Label Exploration of Feasibility, Tolerability, and Preliminary Efficacy), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07059325 early_phase1recruitingnot on this mapstarted 2025, after this paper: background citation

Accelerated, Left Prefrontal Transcranial Magnetic Stimulation for Functional Seizures; An Open-Label Exploration of Feasibility, Tolerability, and Preliminary Efficacy

TypeinterventionalSponsorMedical University of South CarolinaRan2025 to 2027Enrolled30ConditionsFunctional Neurological Symptom Disorder, Functional SeizuresArmsTranscranial Magnetic Stimulation
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Thomas HassaLurija Institute for Rehabilitation and Health Sciences, Allensbach, Germany; Neurological Rehabilitation Center Kliniken Schmieder, Allensbach, Germany.
Alexandra SebastianDepartment of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Germany.
Joachim LiepertNeurological Rehabilitation Center Kliniken Schmieder, Allensbach, Germany.
Cornelius WeillerDepartment of Neurology, Albert Ludwigs University of Freiburg, Germany.
Roger SchmidtDepartment of Psychotherapeutic Neurology Konstanz and Gailingen, Neurological Rehabilitation Center Kliniken Schmieder Konstanz, Germany; Department of Psychology, University of Konstanz, Germany. Electronic address: roger.schmidt@uni-konstanz.de.
Oliver TüscherDepartment of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Germany; Department of Neurology, Albert Ludwigs University of Freiburg, Germany.
University of Freiburg · DEAllensbach Institute · DEJohannes Gutenberg University Mainz · DEKliniken Schmieder · DEUniversity of Konstanz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Initial historical accounts as well as recent data suggest that emotion processing is dysfunctional in conversion disorder patients and that this alteration may be the pathomechanistic neurocognitive basis for symptoms in conversion disorder. However, to date evidence of direct interaction of altered negative emotion processing with motor control networks in conversion disorder is still lacking. To specifically study the neural correlates of emotion processing interacting with motor networks we used a task combining emotional and sensorimotor stimuli both separately as well as simultaneously during functional magnetic resonance imaging in a well characterized group of 13 conversion disorder patients with functional hemiparesis and 19 demographically matched healthy controls. We performed voxelwise statistical parametrical mapping for a priori regions of interest within emotion processing and motor control networks. Psychophysiological interaction (PPI) was used to test altered functional connectivity of emotion and motor control networks. Only during simultaneous emotional stimulation and passive movement of the affected hand patients displayed left amygdala hyperactivity. PPI revealed increased functional connectivity in patients between the left amygdala and the (pre-)supplemental motor area and the subthalamic nucleus, key regions within the motor control network. These findings suggest a novel mechanistic direct link between dysregulated emotion processing and motor control circuitry in conversion disorder.

Indexed as

AdultAmygdalaBrain MappingConversion DisorderEmotionsFacial ExpressionFacial RecognitionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMotor ActivityMotor CortexSubthalamic NucleusYoung AdultAmygdalaConversion disorderEmotion processingfMRIMotor networkPsychogenic paresis

Identifiers

PMID28529870
PMCPMC5429234
OpenAlexW2609099897

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.