Compression of the cauda equina nerves at the base of the spine can cause a loss of function in the lower half of the body. The cauda equina nerves are responsible for both awareness of sensation and control of movement in the lower body and, if the nerves are not compressed promptly, function can be lost for a lifetime.
Physical symptoms of cauda equina syndrome
Dysfunction of the cauda equina nerves can produce severe problems with both the pelvic region and the legs and feet.
A patient who is left with complete cauda equina syndrome is likely to suffer with the following on-going symptoms:
- Difficulties with urinating to the point of possible incontinence
- Urgency when needing the toilet, leakage and possible incontinence
- Loss of sexual function and sensation
- Mobility problems presenting as weakness in the legs and foot drop
Lifestyle impact
This combination of symptoms can be pretty destructive to the patient’s lifestyle and is likely to require some considerable degree of change and support.
- It may be necessary to move to single-storey accommodation in order to be able to access a toilet easily and remain independent
- It may be necessary to have care on a daily basis to help with washing, dressing, cooking etc.
- Driving may become impossible or an adapted vehicle might be required
- Travelling on public transport may become very difficult if not impossible
- Working may become impossible due to disability
- Where the patient is still able to work, some fields of employment may become difficult due to incontinence of wind and faeces
Timely surgery
These appalling effects of cauda equina syndrome can usually be avoided if it is possible to decompress the nerves before too much function is lost.
It would seem that, if surgery can take place before urinary sensation is lost, the patient has a good chance of recovering function or at least of not losing further function.
Medical negligence
If a patient attends A&E or their GP with symptoms of incomplete cauda equina syndrome but are not referred for an emergency MRI scan, it may be considered that they have suffered from substandard care.
If the patient subsequently suffers the permanent effects of complete cauda equina syndrome due to deterioration whilst waiting for an MRI scan, the medical professionals may be regarded as having acted negligently.
Speak to a solicitor
If you or a loved one are suffering from complete cauda equina symptoms due to a delay in your diagnosis or treatment, it may be appropriate to make a claim for compensation.
Call us now to talk to a specialist medical negligence solicitor who has expertise in cauda equina syndrome claims.