Clinical features of adolescent-onset functional motor disorders in tertiary movement disorders centers - PubMed
5 hours ago
- #Adolescent Neurology
- #Functional Motor Disorders
- #Movement Disorders
- Adolescent-onset Functional Motor Disorders (FMDs) are common but often misdiagnosed, leading to delays in treatment.
- The study analyzed 847 patients from the Italian Registry of FMDs, with 93 (10.9%) having adolescent-onset FMDs.
- Adolescent-onset FMDs showed similar motor phenotypes to adult-onset FMDs, except for parkinsonism, which was only observed in adults.
- Adolescent-onset FMDs were associated with longer disease duration, more medical consultations, and higher frequency of functional seizures and infections.
- Adolescents with FMDs had lower rates of insomnia, fatigue, and antipsychotic use compared to adults.
- Pain was more commonly associated with combined FMDs phenotypes.
- Early and accurate diagnosis of adolescent-onset FMDs can reduce unnecessary investigations and inappropriate treatments.