Presentation, management, and outcomes of cauda equina syndrome up to one year after surgery, using clinician and participant reporting: A multi-centre prospective cohort study
Published research co-authored by Mr Gordan Grahovac
This large prospective cohort study examined how cauda equina syndrome presents, is managed and affects patients up to one year after surgery. It is important because CES is uncommon but serious, and standardised outcome data are limited.
Research snapshot
Article title: Presentation, management, and outcomes of cauda equina syndrome up to one year after surgery, using clinician and participant reporting: A multi-centre prospective cohort study
Authors: Julie Woodfield, Ingrid Hoeritzauer, Aimun A B Jamjoom, Josephine Jung, Simon Lammy, Savva Pronin, Cathal John Hannan, Anna L Watts, Laura Hughes, Richard D C Moon, Stacey Darwish, Holly A Roy, Phillip C Copley, Michael T C Poon, Paul Thorpe, Nisaharan Srikandarajah, Gordan Grahovac, Andreas K Demetriades, Niall Eames, Philip J Sell, Patrick F X Statham, UCES Collaborators, British Neurosurgical Trainee Research Collaborative
Publication type: Journal article
Publication date: 17 November 2022
Publication details: The Lancet Regional Health - Europe. 2023;24:100545.
PMID: 36426378
PMCID: PMC9678980
DOI: 10.1016/j.lanepe.2022.100545
Study type: Prospective multicentre observational cohort study
Mr Grahovac’s involvement: Listed author on the publication
Original publication: View the original publication on PubMed
What this paper looked at
This study investigated adults with cauda equina syndrome across multiple centres in the UK. It assessed presentation, investigation, management and outcomes up to one year after surgery using clinician and participant reporting.
Key points from the publication
The study included 621 participants with cauda equina syndrome. Indexed records report that urinary retention requiring catheterisation was common before surgery and reduced by discharge, with outcomes assessed across core domains up to one year.
Clinical relevance
The paper is highly relevant to diagnosis, patient counselling, outcome measurement and service planning for cauda equina syndrome. It highlights that recovery and ongoing symptoms can be complex and should be assessed beyond the immediate operation.
What this means in context
This research supports more informed understanding of cauda equina syndrome, but it is not individual medical advice. Decisions depend on symptoms, neurological examination, bladder and bowel function, MRI findings, timing, urgency and specialist assessment.
View the original publication
You can view the original peer-reviewed publication through PubMed or via the article DOI.
View the original publication on PubMed
About Mr Gordan Grahovac
Mr Gordan Grahovac is a Consultant Neurosurgeon and Complex Spinal Surgeon with expertise in managing complex spinal and neurosurgical conditions.
His work includes the assessment and treatment of patients with degenerative spinal conditions, spinal cord compression, spinal tumours, complex spinal pathology and conditions requiring specialist neurosurgical input.
His approach focuses on careful diagnosis, appropriate treatment planning and helping patients understand their options clearly.
Important note
This page is for educational purposes only and should not be taken as individual medical advice.
If you or someone you know has symptoms such as worsening headache, confusion, drowsiness, weakness, changes in speech, seizures, balance problems or symptoms following a head injury, seek urgent medical advice.
