September 1, 2026 · Archives of disease in childhood · DOI: 10.1136/archdischild-2026-330914

Caring for children with functional neurological disorders in the emergency department

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The authors aim to address the challenges in diagnosing and managing functional neurological disorders (FND) in children presenting to emergency departments, highlighting the impact of educational gaps on timely diagnosis and treatment. They provide practical recommendations for emergency physicians, emphasizing the use of rule-in signs for diagnosis rather than relying solely on negative medical tests, and advocate for clear communication of the diagnosis to patients and families. Additionally, the review discusses patient triage and referral considerations to improve overall care for children with FND.

Jordan Garris, Aarti Gaglani, Michael Malley, Dara Albert

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