Functional Neurological Disorders in Children - A Historical Perspective

Area of Science:

• Neurology
• Medical History

Background:

• Functional Neurological Disorders (FND) present diverse neurological symptoms lacking identifiable pathology.
• The history of FND and its predecessor, hysteria, is complex and intertwined with sexism.
• Understanding historical perspectives is vital for neurologists managing functional disorders.

Purpose of the Study:

• To review the historical evolution of functional neurological disorders.
• To highlight key historical moments influencing the understanding of FND.
• To draw parallels between historical hysteria and pediatric FND.

Main Methods:

• Historical literature review.
• Analysis of key moments in the diagnosis of functional disorders.
• Comparative study of historical and contemporary approaches to FND.

Main Results:

• The diagnosis of FND has evolved significantly from its historical roots.
• Early neurological interest in hysteria waned with the rise of psychiatric diagnoses like conversion disorder.
• Neurology has re-engaged collaboratively in FND diagnosis and research since the late 20th century.

Conclusions:

• The historical context of FND, including its association with sexism, requires awareness.
• Pediatric FND shares historical parallels with early concepts of hysteria.
• A multidisciplinary approach is essential for current FND diagnosis and study.