Quantifying the clinical aspects of the cauda equina syndrome - The Cauda Scale (TCS)
1a Nuffield Health Newcastle-upon-Tyne Hospital , Newcastle Upon Tyne , UK.
Aim:
To quantify the clinical findings in patients with potential cauda equina syndrome (CES).
Methods:
Three domains were selected: bladder function (B), perianal sensation (S) and anal tone/squeeze (T). A quantified score was given to symptoms and signs in each domain.
Results:
The lowest score in each domain and the lowest sum score (the most severe lesion) is 0. The best sum score is 9 (the normal patient).
Conclusion:
TCS can improve the clinical assessment and management of patients with possible CES and improve communication between the doctors who are called upon to assess and treat such patients.
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