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Long-term outcomes of functional neurological disorder in children

Joseph Raper1, Victoria Currigan1, Sarah Fothergill2

  • 1Paediatric Neurology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.

Archives of Disease in Childhood
|July 22, 2019
PubMed

Insights

Functional neurological disorder (FND) in children is more common than previously thought. While many children experience symptom remission, a significant portion may develop FND or similar symptoms in adulthood.

Area of Science:

  • Neurology
  • Pediatrics
  • Psychiatry

Background:

  • Functional neurological disorder (FND) is a common reason for pediatric neurology referrals.
  • Long-term outcomes and adult recurrence rates for pediatric FND are not well-established.

Purpose of the Study:

  • To determine the incidence of pediatric FND.
  • To investigate the long-term outcomes of pediatric FND, including adult symptom recurrence.

Main Methods:

  • Retrospective chart review of pediatric neurology patients with FND.
  • Record linkage with Child and Adolescent Mental Health Services.
  • Review of adult medical records for functional symptoms.

Main Results:

  • 124 children met criteria; common presentations included seizures, sensory loss, and motor symptoms.
  • Incidence in pediatric neurology services was 6 per 100,000 children under 16.
  • Over a median follow-up of 8.3 years, 23% of eligible individuals showed evidence of FND in adulthood.

Conclusions:

  • Pediatric FND is more common than previously estimated.
  • Despite specialist referral, a high long-term remission rate is observed in this pediatric FND cohort.
Abstract

Keywords:
adolescent healthchild psychiatrychild psychologyneurology

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