Paeds Vivas · mental-behavioural-and-psychosomatic
Functional neurological symptoms in children — branching viva
Branching viva on the positive diagnosis of paediatric FND, PNES versus epilepsy, the 3-Ps formulation, iatrogenic perpetuation, the validating diagnosis conversation and stepped multidisciplinary management.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the general paediatrician assessing a young person with new neurological symptoms and a normal scan. The examiner will test positive diagnosis, the PNES distinction, iatrogenic harm, communication and management.
Stem
The examiner opens with a young person who has an abnormal gait and a normal scan, then branches into the PNES distinction, iatrogenic harm, the diagnosis conversation and the management plan. [2] [13]
References8ShowHide
- [1]Yong K, Chin RFM, Shetty J, Hogg K Functional neurological disorder in children and young people: Incidence, clinical features, and prognosis. Dev Med Child Neurol, 2023.PMID 36752054
- [2]Weiss KE, Steinman KJ, Kodish I, Sim L Functional Neurological Symptom Disorder in Children and Adolescents within Medical Settings. J Clin Psychol Med Settings, 2021.PMID 32743729
- [3]Elliott L, Carberry C Treatment of Pediatric Functional Neurological Symptom Disorder: A Review of the State of the Literature. Semin Pediatr Neurol, 2022.PMID 35450669
- [5]Kim YN, Gray N, Jones A, Scher S The Role of Physiotherapy in the Management of Functional Neurological Disorder in Children and Adolescents. Semin Pediatr Neurol, 2022.PMID 35450664
- [7]Kozlowska K, Schollar-Root O, Savage B, Hawkes C Illness-Promoting Psychological Processes in Children and Adolescents with Functional Neurological Disorder. Children (Basel), 2023.PMID 38002815
- [10]Albert DV Psychogenic Nonepileptic Seizures in Children and Adolescents. Semin Pediatr Neurol, 2022.PMID 35450667
- [11]Hansen AS, Rask CU, Christensen AE, Rodrigo-Domingo M Psychiatric Disorders in Children and Adolescents With Psychogenic Nonepileptic Seizures. Neurology, 2021.PMID 34031196
- [13]Perez DL, Aybek S, Nicholson TR, Kozlowska K Functional Neurological (Conversion) Disorder: A Core Neuropsychiatric Disorder. J Neuropsychiatry Clin Neurosciences, 2020.PMID 31964243