Child Neurology Society's Brainstorm CNS Brainstorm Episode 3 "Functional Movement Disorder" with guest Dr. Jordan Garris
Mar 4, 2025
Join Dr. Jordan Garris, Assistant Professor of Neurology at the University of Virginia, as he delves into the intriguing world of functional movement disorders. He explains the significance of accurate diagnosis through thorough clinical examination and highlights common symptoms like tremors and dystonia. Garris also emphasizes the importance of effective communication in fostering understanding among patients and families. A multidisciplinary approach integrating neurologic care and cognitive behavioral therapy is showcased as vital for improving outcomes in pediatric patients.
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FMD Are Genuine Neurologic Disorders
- Functional movement disorders (FMD) are real neurologic conditions, not malingering or faking.
- They involve abnormal movements incompatible with other medical conditions and cause real distress.
Diagnose FMD by Positive Signs
- FMD diagnosis is made by positive clinical signs unique to the disorder, not just by exclusion.
- Examples include tremor entrainment and astasia evasion, which differentiate FMD from other movement disorders.
Avoid Excessive Testing in FMD
- Conduct thorough history and neurologic exam to diagnose FMD to avoid excessive harmful testing.
- Test for comorbid neurologic disorders only when history and exam raise suspicion.