scholarly journals A Systematic Review of the Value of a Bladder Scan in Cauda Equina Syndrome Diagnosis

Cureus ◽  
2021 ◽  
Author(s):  
Awf A Alshahwani ◽  
Joseph Boktor ◽  
Amr Elbahi ◽  
Purnajyoti Banerjee
Keyword(s):  
Systematic Review ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Bladder Scan ◽  
Syndrome Diagnosis

A systematic review of the presentation of scan-negative suspected cauda equina syndrome

The Surgeon ◽  
2020 ◽  
Vol 18 (1) ◽  
pp. 49-52
Author(s):  
Jake McDonnell ◽  
Daniel P. Ahern ◽  
Denys Gibbons ◽  
David M. Dalton ◽  
Joseph S. Butler
Keyword(s):  
Systematic Review ◽  
Cauda Equina Syndrome ◽  
Cauda Equina

The utilisation of post-micturition bladder scan in the assessment of patients with suspected cauda equina syndrome (CES)

2016 ◽  
Vol 16 (4) ◽  
pp. S74-S75
Author(s):  
Michelle Angus ◽  
Mohammed Elmajee ◽  
Rajat Verma ◽  
Saeed Mohammad ◽  
Irfan Siddique
Keyword(s):  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Bladder Scan

Time-Dependent Surgical Outcomes Following Cauda Equina Syndrome Diagnosis

Spine ◽  
2004 ◽  
Vol 29 (11) ◽  
pp. 1281-1287 ◽  
Author(s):  
Sean S. Kohles ◽  
David A. Kohles ◽  
Adam P. Karp ◽  
Victor M. Erlich ◽  
Nayak L. Polissar
Keyword(s):  
Surgical Outcomes ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Time Dependent ◽  
Syndrome Diagnosis

scholarly journals 1436 A Stab in The Back: Assessment of Suspected Cauda Equina Syndrome by The Emergency Department Prior To Referral to Orthopaedics in A District General Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
V Hyett ◽  
N Campbell ◽  
O Olukoya
Keyword(s):  
Emergency Department ◽  
Neurological Examination ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
District General Hospital ◽  
Delayed Treatment ◽  
Clinical Notes ◽  
Bladder Scan ◽  
Cord Injury ◽  
The Uk

Abstract Introduction Within the UK, Cauda Equina Syndrome (CES) is a rare surgical emergency which has the potential to cause significant morbidity. Within hospitals that do not have an on-site neurosurgical service, assessment of potential CES patients is performed in the Emergency Department (ED) prior to referral to either local orthopaedic or regional neurosurgical services. Delay or inefficiency in this assessment can result in delayed treatment and worsens patient outcomes. Method A retrospective study with patients identified from the orthopaedic trauma meeting lists over a 6-month period. Only patients assessed by the emergency department were included (25 total). Direct referrals and those with infective symptoms were excluded. ED clinical notes were assessed, and the documentation was compared against a standard from the American Spinal Cord Injury Association. Documentation of pre- and post-void bladder scan was also assessed. Results Of the 25 total patients, 60% had a full lower limb neurological examination documented. 20% had no documented neurological examination and 20% had an incomplete neurological examination. Only 68% of patients had a Per Rectal exam performed, of those 94% had perianal sensation assessed. 56% of patients did not have a post-void bladder scan documented. Conclusions Limitations to initial ED assessment of likely CES patients can delay diagnosis and treatment which can have devastating consequences for the patient. The data is limited by reliance on an accurate trauma list and exclusion of patients who were referred directly to neurosurgery from ED. Our recommendations include introduction of a CES assessment proforma within ED and a re-audit cycle.

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