Treatment of Cauda Equina Syndrome with Thecal Sac Compression, Bilateral Radiculopathy, and Subjective Sphincteric or Perineal Sensory Changes (CESS — CES Suspected)

This protocol applies to a specific and clinically important presentation of cauda equina syndrome: imaging-confirmed thecal sac compression accompanied by bilateral radiculopathy and/or subjective sphincteric problems and/or subjective perineal sensory changes, where no objective neurological evidence of full cauda equina syndrome is yet present.

Defined scenario (CESS): Thecal sac compression with bilateral radiculopathy and/or subjective sphincteric problems and/or subjective perineal sensory changes, with no objective evidence of CES — classified as CES Suspected (CESS).

Treatment approach: The evidence-based protocol for CESS specifies a surgical intervention, with guidance on the appropriate timing of that surgery. The complete structured regimen — including how that timing decision is made — is available via the link below.

Instant Access to Structured Evidence-Based Regimens

References

Thecal sac compression with bilateral radiculopathy and/or subjective sphincteric problems and/or subjective perineal sensory changes with no objective evidence of CES is CESS (CES suspected).
Elective surgery is preferred rather than emergency surgery.

DOI: 10.32587/jnic.2019.00136

View source ↗