Cauda Equina Syndrome: The Urgency of Diagnosis and the Cost of Delay

By Zoe Diss

Cauda Equina Syndrome (CES) is a rare but serious medical emergency that can lead to life-changing consequences if not recognised and treated quickly. It involves compression of the nerves at the base of the spinal cord, known as the cauda equina which control movement and sensation in the lower limbs, as well as bladder, bowel, and sexual function.

For those affected, timely diagnosis and surgical intervention are critical. For those let down by delays or missed warning signs, the outcome can be permanent disability, chronic pain, and profound psychological and financial hardship. In such cases, patients may have grounds to pursue a medical negligence claim.

What is Cauda Equina Syndrome?

The cauda equina is a bundle of nerves located at the lower end of the spinal cord. These nerves are responsible for transmitting messages to and from the legs, pelvic organs, and perineal area. When these nerves become compressed, often due to a prolapsed disc or, less commonly, a tumour, infection, or trauma, it can result in Cauda Equina Syndrome.

While CES is rare, affecting an estimated 1 to 3 people in every 100,000, it tends to affect adults of working age. The condition often develops suddenly, and symptoms may escalate within hours.

Key Warning Signs of Cauda Equina Syndrome