Work

Pediatric DYT-TOR1A dystonia presenting as functional neurological disorder: A case report

Year: 2025

Type: article

Abstract: Functional neurological disorders are neurologic symptoms without a structural basis but can be difficult to distinguish from symptoms caused by structural brain differences (organic neurological disorders). We present a pediatric patient who was diagnosed with functional neurological disorder and determined years later to also have an organic movement disorder, DYT-TOR1A. She was treated with deep brain stimulation with very good response. Historical features, exam findings are helpful in distinguishing functional neurological disorder from an organic movement disorder, and gauging response to treatment and clinical features over time help physicians ensure diagnostic accuracy. However, the diagnostic process is particularly challenging when functional neurologic disorder and organic dystonia are present in the same patient.

Source: Medical Reports

DOI: 10.1016/j.hmedic.2025.100314

Authors: Philip R. Fischer, Paul E. Youssef, Joline E. Brandenburg, Farwa Ali, Jenny L. Wilson

Institutions: Mayo Clinic, Oregon Health & Science University

Language: English

Topic: Neurological disorders and treatments

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $1,900