When damage or compression to the bundle of nerves at the lower end of the spinal cord (cauda equine) occurs, a syndrome known as CES, or Cauda Equina Syndrome is the result. Compression of these nerves can cause impaired function in various parts of the lower body and result in paralysis. Proper diagnosis and immediate treatment is crucial to prevent paralysis and other serious consequences of CES from occurring. When CES is correctly and quickly diagnosed, it can be treated. Misdiagnosing CES is a serious medical mistake that is considered medical malpractice and/or negligence . Families of those with CES are greatly affected because people with CES require lifelong care.

Any time a patient presents with neurological symptoms consistent with spinal cord compression, CES must be considered as a possible diagnosis. Patients suffering with CES may exhibit the following signs or symptoms:

• Loss or impairment of bowel and or bladder function or control
• Numbness or weakness in the pelvic area, genitals, buttocks, legs or feet
• Pain in the back, buttocks, pelvic area, legs, or feet

If an MRI is performed and indicates spinal cord compression, surgery must be performed urgently to limit the amount of spinal cord damage. If the diagnosis of CES is missed by emergency room staff , the surgery will be delayed (or not performed at all), which can result in paralysis from the waist down.

If someone you love is complaining of the above symptoms, you must get him/her to an emergency room immediately and inquire if CES is a possible diagnosis if the doctor does not mention it. If your doctor does not perform the necessary diagnostic tests for CES, you may have a valid medical malpractice claim.

CES is caused by narrowing of the spinal canal, which can occur due to:

• Spinal stenosis
• Herniation of the disc
• Gunshot or stab wound
• Fracture of the lower back
• Tumors
• Infection conditions