Table 2.
Functional and psychiatric comorbidity in scan-positive and -negative cauda equina syndrome
Scan +ve (n = 78) n (%) |
Scan −ve with root compression (n = 87) n (%) |
P value | Scan −ve no root compression (n = 104) n (%) |
P value | |
---|---|---|---|---|---|
Functional disorder comorbidity | 7 (9%) | 26 (30%) | 0.0007 | 39 (37%) | < 0.0001 |
Functional disorders* | |||||
Irritable bowel syndrome | 2 (3%) | 9 (10%) | 12 (11%) | ||
Non-cardiac chest pain | 0 | 7 (8%) | 17 (16%) | ||
Chronic widespread pain | 5 (6%) | 5 (6%) | 8 (8%) | ||
Other | 1 atypical facial pain | 2 functional cognitive disorder | |||
Functional neurological disorders* | 0 | 10 (11%) | 0.0014 | 13 (12%) | 0.0005 |
Limb weakness | 3 (3%) | 6 (6%) | |||
Sensory/hemisensory | 4 (5%) | 5 (5%) | |||
Dissociative seizures | 2 (3%) | 1 (1%) | |||
Other | 2 (2%) Dysphonia | 2 (2%) Visual | |||
Psychiatric diagnoses* | |||||
Depression | 17 (22%) | 34 (39%) | 0.02 | 55 (53%) | < 0.0001 |
Anxiety | 14 (18%) | 26 (30%) | 43 (41%) | ||
Personality disorder | 8 (10%) | 21 (24%) | 17 (16%) | ||
Other | 0 | 2 (2%) 1 anorexia 1 OCD 1 suicidal ideation |
1 (1%) 3 (3%) PTSD 2 deliberate overdose |
||
Timing of FND in relation to CES presentation | |||||
Prior | 6 (7%) | 6 (6%) | |||
At the same time | 2 (2%) | 4 (4%) | |||
After | 2 (2%) | 3 (3%) |
Bold—P values of < 0.05 were deemed significant
FND functional neurological disorder, OCD obsessive compulsive disorder, PTSD post-traumatic stress disorder
*Several patients had more than one disorder