Functional neurological disorder in children and young people: Incidence, clinical features, and prognosis.
Dev Med Child Neurol
; 65(9): 1238-1246, 2023 09.
Article
em En
| MEDLINE
| ID: mdl-36752054
ABSTRACT
AIM:
To report incidence, demographic and clinical characteristics, and symptom outcome of functional neurological disorder (FND) in children.METHOD:
Children diagnosed with FND at a regional children's hospital were prospectively recruited by weekly active surveillance for 36 months. Demographic, clinical, and follow-up data were retrospectively extracted by review of electronic records. Descriptive statistical analyses were used.RESULTS:
Ninety-seven children (age range 5-15 years) met the case definition of FND (annual incidence 18.3 per 100 000 children). Children with FND were likely to be female (n = 68 [70%]) and older (median 13 years) with no difference in the Scottish Index of Multiple Deprivation (marker of socioeconomic status) compared with the general childhood population. Functional motor (41%) and sensory (41%) symptoms were most common; other somatic symptoms such as headache (31%) and pain (27%) were frequent. Self-reported psychiatric symptoms and infection/inflammation were the most common predisposing and precipitating factors respectively. At a median of 15 months follow-up, 49% of 75 children reported improvement or resolution of FND symptoms with no prognostic factors found.INTERPRETATION:
At this regional centre, FND in children had a higher incidence than previously reported and a less optimistic outcome than in some other studies.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtorno Conversivo
/
Doenças do Sistema Nervoso
Tipo de estudo:
Diagnostic_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
Dev Med Child Neurol
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Reino Unido