Current concept in the diagnosis and treatment of functional neurological disorder in children and adolescents

doi:10.3969/j.issn.1672-6731.2023.02.012

Abstract

Abstract: Functional neurological disorder (FND) is a neuropsychiatric disorder characterized by the presence of neurological symptoms in the absence of any neurological abnormality that can be linked to a known pathology. There is currently limited research available regarding diagnosis and treatment of FND in children and adolescents. Pediatricians and neurologists have insufficient understanding of the disease. Patients have often been misdiagnosed, correctly diagnosed after lengthy delays, or lead to inappropriate treatments. This paper reviews the pertinent clinical and historical features, diagnostic criteria, and multi-disciplinary management of FND in the pediatric population, in order to improve clinical understanding of the disease as well as its diagnosis and treatment.

Key words: Concersion disorder, Child, Adolescent, Review

摘要： 功能性神经系统疾病（以下简称功能性神经疾病）系指临床表现为神经系统疾病症状，但无相应器质性病因的一类疾病。目前关于儿童和青少年功能性神经疾病的研究较少见，且儿科和神经科医师对疾病认识不足，存在误诊、误治现象。本文综述儿童和青少年功能性神经疾病的病史采集、体格检查、诊断标准及临床分型、诊断误区及存在问题等诊断过程、治疗现状及分级管理模式，以提高临床对该病的认识以及诊断与治疗水平。

关键词: 转换障碍, 儿童, 青少年, 综述

TANG Ya-nan. Current concept in the diagnosis and treatment of functional neurological disorder in children and adolescents[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(2): 143-147.

汤亚南. 儿童和青少年功能性神经系统疾病诊断与治疗进展[J]. 中国现代神经疾病杂志, 2023, 23(2): 143-147.

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URL: http://journal11.magtechjournal.com/cjcnn/EN/10.3969/j.issn.1672-6731.2023.02.012

http://journal11.magtechjournal.com/cjcnn/EN/Y2023/V23/I2/143

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