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Functional Movement Disorders in Children.

Anjali Chouksey1, Sanjay Pandey1

  • 1Department of Neurology, Govind Ballabh Pant Postgraduate Institute of Medical Education and Research, New Delhi, India.

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|December 7, 2020
PubMed
Summary
This summary is machine-generated.

Functional movement disorders (FMDs) are common in children, presenting with various symptoms like tremor and tics. Early diagnosis and treatment lead to better outcomes in pediatric FMD patients.

Keywords:
childrendystoniamovement disordersmyoclonustremor

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Area of Science:

  • Pediatric Neurology
  • Neuroscience
  • Movement Disorders

Background:

  • Functional movement disorders (FMDs) are prevalent in children, presenting unique challenges in diagnosis and management.
  • These disorders constitute a significant percentage of pediatric movement disorder cases in emergency settings (4.3-23%).

Purpose of the Study:

  • To review the frequency, clinical features, precipitating factors, diagnosis, treatment, and outcomes of FMDs in children.
  • To enhance understanding of pediatric FMDs for improved clinical practice.

Main Methods:

  • Literature review of pediatric functional movement disorders.
  • Analysis of phenomenological patterns, risk factors, and treatment responses.

Main Results:

  • Common pediatric FMDs include tremor, dystonia, gait disturbances, and functional tics.
  • Risk factors are diverse, encompassing social (e.g., bullying, family issues) and physical (e.g., minor trauma, immunization) triggers.
  • Pediatric patients generally show a better response to treatment compared to adults.

Conclusions:

  • FMDs in children share gender preponderance with adults but differ significantly in risk factors.
  • Understanding specific pediatric FMD characteristics is crucial for effective management and improved patient outcomes.