Implementation of a cauda equina service in a medium-sized district general hospital in the UK.

Aim: This project explored how the implementation of national guidance for investigation and management of patients with suspected cauda equina syndrome impacted on service provision.

Methods: Retrospective analysis of patients with suspected cauda equina syndrome during 12 months before the implementation of the national guidelines were compared with data from the 21 months following.

Results: Monthly mean numbers of referrals for suspected cauda equina syndrome increased from 10.

Horner's Syndrome Secondary to Epidural Anaesthesia Following Posterior Instrumented Scoliosis Correction.

An 11-year-old girl underwent T4 to L1 posterior instrumented scoliosis correction for adolescent idiopathic scoliosis. Postoperative clinical examination revealed left-sided Horner's syndrome which was preceded by left-sided C8 paraesthesia. The Horner's syndrome resolved after 14 hours following weaning and removal of the epidural catheter.