This is a multicenter retrospective EMR-based chart review of 88 patients aged 3–21 years admitted for evaluation of functional neurologic disorder (FND). We sought to establish characteristics associated with FND, calculate incidence of abnormal neurodiagnostic findings, and determine features associated with variability in workup and treatment. FND patients were 65% female, 40% White, 33% Hispanic, and 88% primarily English speaking with median 13.9 years. We detected variability in management by age, ethnicity, psychiatric comorbidity, and hospital site. Our findings suggest limited utility to CTs in this setting (100% normal) and that workup can be safely informed by physical exam, which predicted abnormal MRI and LP results. We favor screening for adverse childhood experiences in FND patients. Hospitalization may be a rare opportunity for psychiatry contact.

这是一项基于 EMR 的多中心回顾性图表回顾，纳入了 88 名年龄在 3-21 岁的患者，他们因评估功能性神经疾病 (FND) 而入院。我们试图确定与 FND 相关的特征，计算异常神经诊断结果的发生率，并确定与检查和治疗变异性相关的特征。FND 患者 65% 为女性，40% 为白人，33% 为西班牙裔，88% 主要以英语为母语，中位年龄为 13.9 岁。我们检测到不同年龄、种族、精神病合并症和医院地点的管理差异。我们的研究结果表明，在这种情况下 CT 的效用有限（100% 正常），并且可以通过体格检查安全地告知检查结果，这可以预测异常的 MRI 和 LP 结果。我们赞成筛查 FND 患者的不良童年经历。