Evidence map›Paper›PMID 42306353›Full record

ReviewCureus2026

Cauda Equina Syndrome: A Narrative Review Exploring the Pathophysiology, Clinical Spectrum, Diagnostic Strategies, and Time-Critical Management.

Tharun T Aduri, Pankaj K Mishra, Virendra Verma, Naman Jain, Swasti S Prasad

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tharun T AduriDepartment of Orthopaedics, All India Institute of Medical Sciences, Bhopal, IND.
Pankaj K MishraDepartment of Orthopaedics, All India Institute of Medical Sciences, Bhopal, IND.
Virendra VermaDepartment of Orthopaedics, All India Institute of Medical Sciences, Bhopal, IND.
Naman JainDepartment of orthopaedics, All India Institute of Medical Sciences, Bhopal, IND.
Swasti S PrasadDepartment of Orthopaedics, All India Institute of Medical Sciences, Bhopal, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cauda equina syndrome (CES) is an uncommon but severe neurological condition resulting from compression of the lumbosacral nerve roots, leading to motor, sensory, and autonomic dysfunction. Despite its low incidence, CES carries a high risk of permanent disability and medico-legal consequences due to the narrow therapeutic window for intervention. This narrative review synthesizes current evidence on the anatomical basis, pathophysiology, etiology, clinical presentation, diagnostic pathways, classification systems, and management strategies for CES. Particular emphasis is placed on the prognostic distinction between incomplete CES (CES-I) and CES with urinary retention (CES-R), as well as the ongoing debate surrounding the optimal timing of surgical decompression. Long-term outcomes, rehabilitation principles, and emerging neuroprotective strategies are also discussed. Early recognition, prompt imaging, and urgent decompression remain central to improving neurological recovery and quality of life in affected patients.

Indexed as

bladder dysfunctioncauda equina syndromelumbar disc herniationneuroprotectionspinal emergencysurgical timing

Identifiers

PMID42306353
PMCPMC13265969

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.