Quick answers
This page explains possible claims where MRI for suspected cauda equina syndrome was delayed. It is general information only.
The role of MRI
Where cauda equina syndrome is suspected, MRI is often central to identifying whether there is compression requiring urgent surgical assessment.
When delay may matter
Potential failures include not referring to hospital, not escalating red flags, not arranging urgent imaging, administrative delay, failure to communicate MRI findings or delay in neurosurgical review after imaging.
Red flags and local pathways
NICE guidance refers to immediate referral in line with local pathways where severe low back pain radiating into the leg is accompanied by new bladder, bowel or sexual function disturbance, or new perineal numbness.
Causation
The expert question is whether earlier MRI would probably have led to earlier surgery or treatment, and whether that would probably have avoided or reduced bladder, bowel, sexual, sensory or motor impairment.
Evidence needed
Important evidence includes GP notes, A&E records, red flag screening forms, neurological examinations, bladder scans, MRI request time, MRI report time, neurosurgical advice and operation notes.
Sources used
This page is informed by NICE suspected neurological conditions referral guidance and NHS hospital information about cauda equina warning signs. See NICE: Suspected neurological conditions.