Cited by 72Psychosomatic Disorders and Their TreatmentsDeep Brain Stimulation and Movement DisordersFunctional Brain Connectivity Studies

The DOI matches its Crossref record; 40 of the 41 references it cites were found in a registry or an index.

Gray matter differences in patients with functional movement disorders

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Abstract

OBJECTIVE: To explore alterations in gray matter volume in patients with functional movement disorders. METHODS: We obtained T1-weighted MRI on 48 patients with clinically definite functional movement disorders, a subset of functional neurologic symptom disorder characterized by abnormal involuntary movements, and on 55 age- and sex-matched healthy controls. We compared between-group differences in gray matter volume using voxel-based morphometry across the whole brain. All participants in addition underwent a thorough neuropsychological battery, including the Hamilton Anxiety and Depression Scales and the Childhood Trauma Questionnaire. To determine whether confounding factors such as comorbid depression, anxiety, or childhood trauma exposure contributed to the observed structural changes, nonparametric correlation analysis was performed. RESULTS: ≤ 0.05). Volumetric differences did not correlate with measures of disease duration or patient-rated disease severity. CONCLUSION: This study demonstrates that patients with functional movement disorders exhibit structural gray matter abnormalities in critical components of the limbic and sensorimotor circuitry. These abnormalities may represent a premorbid trait rendering patients more susceptible to disease, the disease itself, or a compensatory response to disease.

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  1. First MB, Spitzer RL, Gibbon M, Williams J. Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Patient Edition (SCID-I/P, 1/2007 Revision): Biometrics Res [online]. New York: NYSPI; 2002.

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Metadata

Authors
Maurer, C. W., LaFaver, K., Limachia, G. S., Capitan, G., Ameli, R., Sinclair, S., Epstein, S. A., Hallett, M., & Horovitz, S. G.
Affiliations
National Institutes of Health (US)
Venue
Neurology
Published
2018-11-13
Volume
91
Issue
20
Pages
e1870-e1879
ISSN
  • 0028-3878 (ISSN-L)
  • 1526-632X
OpenAlex
W2897783414
Cited by
72
References
41
Citations by year
2026: 9 · 2025: 13 · 2024: 12 · 2023: 5 · 2022: 10 · 2021: 9 · 2020: 7 · 2019: 7
FWCI
4.51
Type
journal article
Language
en
Open access
Locations
  • Neurology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
Keywords
functional movement disorders, gray matter volume, involuntary movements, limbic system, depression, anxiety, childhood trauma, brain structural changes
MeSH terms
Adult, Aged, Brain, Female, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Movement Disorders, Young Adult, Gray Matter

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