Patient with Suspected Cauda Equina Syndrome

Up-to-date evidence-based and pragmatic interpretation of the UK guidance on investigating and managing cauda equina syndrome.

Gabriel Metcalf-Cuenca (Author), Patrick F. X. Statham (Author)

9781009388702, Cambridge University Press

Paperback / softback, published 22 May 2025

26 pages
22.8 x 15.1 x 0.2 cm, 0.06 kg

Cauda equina syndrome is the clinical syndrome seen when there is acute compression of the cauda equina nerve roots and is a rare neurosurgical emergency. The approximate incidence in patients presenting with low back pain is 0.27% but delays in investigation and treatment can result in life-changing permanent disability. The best practice for patients presenting with potential cauda equina syndrome is urgent MRI imaging at the presenting hospital to avoid delays in diagnosis. Patients with a positive finding of cauda equina compression should proceed to decompressive surgery to restore the diameter of the spinal canal urgently to reduce the risk of developing a permanent deficit.

Background
Clinical presentation
Investigation and Guidelines
Management.

Subject Areas: Accident & emergency medicine [MMK]