Functional Neurological Disorder in Pediatrics: Diagnostic Considerations

Haley Moulton1, Diane DerMarderosian2, Heather A Chapman2

  • 1Warren Alpert Medical School of Brown University; Hasbro Children's Hospital/Rhode Island Hospital; Providence, RI.

PubMed

Insights

Functional neurological disorder (FND) is a common pediatric diagnosis. The DSM-V now defines FND as a rule-in diagnosis, focusing on symptom presentation rather than exclusion.

Area of Science:

  • Pediatric Neurology
  • Neuropsychiatry

Background:

  • Functional neurological disorder (FND) presents with diverse neuropsychiatric symptoms in children.
  • It is frequently encountered across various pediatric healthcare settings.

Purpose of the Study:

  • To review the diagnostic criteria for FND in pediatric populations.
  • To clarify features, risks, and prognostic factors associated with FND.
  • To introduce a case study for a series on FND.

Main Methods:

  • Review of diagnostic criteria and clinical features of FND.
  • Discussion of risk and prognostic factors.
  • Introduction of a pediatric FND case example.

Main Results:

  • FND is a common pediatric diagnosis with varied symptoms.
  • The DSM-V criteria emphasize FND as a rule-in diagnosis based on symptom presentation.
  • Key diagnostic features, risks, and prognoses are outlined.

Conclusions:

  • The diagnostic approach to FND has shifted towards a rule-in methodology.
  • Understanding FND's features, risks, and prognosis is crucial for pediatric care.
  • This article serves as an introduction to a series on pediatric FND.

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