Functional Neurological Disorder–Old Problem New Perspective

Radu-Stefan Perjoc, Eugenia Roza (), Oana Aurelia Vladacenco, Daniel Mihai Teleanu, Roxana Neacsu and Raluca Ioana Teleanu
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Radu-Stefan Perjoc: “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Eugenia Roza: “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Oana Aurelia Vladacenco: “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Daniel Mihai Teleanu: “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Roxana Neacsu: “Dr. Victor Gomoiu” Children’s Hospital, 022102 Bucharest, Romania
Raluca Ioana Teleanu: “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania

IJERPH, 2023, vol. 20, issue 2, 1-12

Abstract: Functional neurological disorder (FND) is a common issue in the pediatric population. The concept and our understanding of functional neurological disorders have changed over the past years, and new etiologic models and treatment plans have been explored. Knowledge about FND in the pediatric population, however, is lacking. The aim of this review is to provide an update on pediatric functional neurological disorder. We conducted a literature search of PubMed and SCOPUS databases and reviewed a total of 85 articles to gain insight into the current understanding of FND etiology, diagnosis, treatment, and prognosis in children and adolescents. Functional and high resolution MRI revealed abnormal connectivity and structural changes in patients with functional symptoms. The diagnostic criteria no longer require the presence of a psychological factor and instead focus on a rule-in diagnosis. Treatment of FND includes a clear communication of the diagnosis and the support of a multidisciplinary team. Although FND typically has a poor prognosis, better outcomes appear to have been achieved in children and young adults. We conclude that pediatric functional neurological disorder is a prevalent pathology and that this patient population has additional specific needs compared to the adult population.

Keywords: functional neurological disorder; children; family (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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