Rising Suspicion, Stable Disease: An Eight-Year Analysis of Suspected and Confirmed Cauda Equina Syndrome

Elie Najjar

doi:10.1016/j.spinee.2026.06.003

Rising Suspicion, Stable Disease: An Eight-Year Analysis of Suspected and Confirmed Cauda Equina Syndrome

2026-06-10

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Elie Najjar *

S

Shahbaz Khan

R

Rawan Masarwa

D

Daniel D’Aquino

M

Michael Grevitt

DOI：10.1016/j.spinee.2026.06.003

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Suspected cauda equina syndrome (CES) referral pathways are designed to maximise sensitivity, often prompting urgent MRI based on single red-flag features. Rising referral volumes have raised concern that pathway-driven behaviour may not reflect true disease incidence. Longitudinal analyses anchored to robust diagnostic adjudication remain limited.

Rising Suspicion, Stable Disease: An Eight-Year Analysis of Suspected and Confirmed Cauda Equina Syndrome

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