Symptoms include: lower back pain, bladder and bowel incontinence, pain/numbness/weakness in one or both legs, altered sensation on buttocks, inner thighs, perineum, back of legs, feet, and heels (sciatica), and impotence. In some cases, there is a delay onset of symptoms, which can make a timely diagnosis difficult, especially with patients who are confined to a bed, where bladder problems are not considered unusual.
Treatment requires surgery to remove whatever material is pressing on the nerves. If not treated early in the course, CES can result in irreversible nerve damage, permanent paralysis, bowel/bladder control problems, and other issues.Medical Malpractice Implications Of Cauda Equina Syndrome Related To Spinal Anesthesia
A rare complication of spinal anesthesia is CES, especially in patients on anticoagulation therapy. A1997 report indicated that spinal anesthesia administered through a small gauge needle was associated with CES. If a patient who has received spinal anesthesia complains of back pain, doctors should take steps to rule out CES. Close surveillance can help prevent lasting problems. (See “ FDA Safety Alert: Cauda Equina Syndrome Associated with Use of Small-Bore Catheters In Continuous Spinal Anesthesia.”)
Unfortunately, in some cases, doctors are too slow to react to a patient’s symptoms, either because they minimize the importance of back pain or fail to distinguish normal symptoms from abnormal symptoms. In these situations, surgery may come too late, resulting in permanent nerve damage.
At this point, the patient’s only option to engage in physical therapy, occupational therapy to improve activities of daily living and learn coping mechanisms to be more independent. Therefore, it is important for doctors to take a detailed medical history and perform a physical examination. An MRI can be used to help diagnose CES because it shows the soft tissue.Chicago lawyers helping people with cauda equina syndrome cases
If you have been diagnosed with cauda equina syndrome we would honor the opportunity to speak to you. Rosenfeld Injury Lawyers are experienced Chicago medical malpractice attorneys whom have a track record of successfully resolving these cases for significant amounts.