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Mr Patrick McKenna

Case study: cauda equina

by Mr Patrick McKenna, Consultant Spinal Surgeon

This case study describes a male patient with cauda equina syndrome (CES) initially misdiagnosed as sciatica. Delayed MRI and surgery led to prolonged nerve compression, resulting in permanent neurological complications despite eventual pain relief. The case raises concerns about delayed diagnosis and potential clinical negligence.

The Medicolegal Challenges of Chronic Back Pain

Chronic back pain affects a significant portion of the population and can lead to lasting physical, psychological, and financial challenges. Its complex causes—ranging from structural issues to psychological factors—make diagnosis and management difficult, underscoring the need for a comprehensive, biopsychosocial approach.

The medicolegal challenges of diagnosing and treating bipolar disorder

Bipolar disorder (BD) is a complex condition involving episodes of depression and mania or hypomania. It is often misdiagnosed as unipolar depression, leading to delayed treatment and poorer outcomes. Accurate diagnosis and early intervention are key to improving long-term management.