Functional neurological disorder in children and young people: Incidence, clinical features, and prognosis

被引:21
|
作者
Yong, Kenneith [1 ,4 ]
Chin, Richard F. M. [1 ,2 ,3 ]
Shetty, Jay [1 ,2 ]
Hogg, Kirsty [1 ]
Burgess, Kieran [1 ]
Lindsay, Max [1 ]
McLellan, Ailsa [1 ]
Stone, Jon [3 ]
KamathTallur, Krishnaraya [1 ]
机构
[1] Royal Hosp Children & Young People, Dept Clin Neurosci, Edinburgh, Scotland
[2] Univ Edinburgh, MRC Ctr Reprod Hlth, Child Life & Hlth, Edinburgh, Scotland
[3] Univ Edinburgh, Div Hlth Sci, Ctr Clin Brain Sci, Edinburgh, Scotland
[4] Royal Hosp Children & Young People, Dept Clin Neurosci, 50 Little France Crescent, Edinburgh EH16 4TJ, Scotland
来源
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY | 2023年 / 65卷 / 09期
关键词
CONVERSION DISORDER; MOVEMENT-DISORDERS; ADOLESCENTS; SYMPTOMS; SEIZURES;
D O I
10.1111/dmcn.15538
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
AimTo report incidence, demographic and clinical characteristics, and symptom outcome of functional neurological disorder (FND) in children. MethodChildren 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. ResultsNinety-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. InterpretationAt this regional centre, FND in children had a higher incidence than previously reported and a less optimistic outcome than in some other studies.
引用
收藏
页码:1238 / 1246
页数:9
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