Epidemiology of Functional Neurological Disorder: The Clinical Spectrum
Emma Woo1, Gabriela Gilmour1,2
1Department of Clinical Neurosciences, University of Calgary, Calgary, Canada.
Seminars in Neurology
|November 25, 2025
Summary
Functional neurological disorder (FND) is a common condition affecting motor and sensory systems. Early intervention is crucial as delayed diagnosis leads to poor prognosis and significant economic burden.
Area of Science:
- Neuroscience
- Psychiatry
- Epidemiology
Background:
- Functional neurological disorder (FND) is a prevalent neuropsychiatric condition with diverse symptoms impacting motor, sensory, cognitive, and perceptual functions.
- It affects individuals across the lifespan, with a higher prevalence observed in women, influenced by socioeconomic and cultural factors.
Purpose of the Study:
- To review the incidence, prevalence, demographics, risk factors, comorbidities, prognosis, and economic impact of Functional Neurological Disorder (FND).
- To highlight the need for standardized diagnostic approaches and interdisciplinary collaboration for FND.
Main Methods:
- Systematic review of epidemiological data on Functional Neurological Disorder (FND).
- Analysis of demographic factors, risk factors, comorbidities, and economic burden associated with FND subtypes.
Main Results:
- FND incidence ranges from 10-16 per 100,000, and prevalence from 79-144 per 100,000.
- Prognosis is often poor without early intervention, with diagnostic delays exacerbating chronic symptoms and disability.
- FND contributes to substantial healthcare utilization and economic burden.
Conclusions:
- Functional Neurological Disorder (FND) presents a significant public health challenge with considerable economic implications.
- Improving epidemiological accuracy and clinical outcomes requires standardized diagnostic methods and enhanced interdisciplinary collaboration for FND patients.
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