Quick answers
This page explains when missed cauda equina syndrome may justify legal investigation. It is general information only.
Why cauda equina is urgent
Cauda equina syndrome involves compression of nerves controlling bladder, bowel, sexual function and leg sensation or power. Delay can lead to permanent disability.
Red flags that should prompt urgent action
NICE neurological referral guidance says adults with severe low back pain radiating into the leg and new bladder, bowel or sexual function disturbance, or new perineal numbness, should be referred immediately in line with local pathways for assessment for cauda equina syndrome.
Potential failures
Claims may involve failure to ask about red flags, failure to document symptoms, delayed A&E referral, delayed MRI, delayed neurosurgical review or delayed decompression surgery.
Causation
Expert evidence must address whether earlier assessment, imaging or surgery would probably have avoided or reduced the injury. Timing and symptom progression are crucial.
Evidence needed
Useful evidence includes GP records, NHS 111 or ambulance records, A&E notes, neurological examinations, bladder scans, MRI reports, operation notes and a detailed symptom chronology.
Sources used
This page is informed by NICE suspected neurological conditions referral guidance. See NICE: Suspected neurological conditions: recommendations for adults.