Manejo actualizado del síndrome de cola de caballo

Abstract

Introduction: Cauda equina syndrome is a rare but very devastating disease, hence the need for a timely diagnosis to avoid future neurological sequelae, the treatment is surgical, and the question is that it is still under discussion when it should be performed. Objective: to analyze the updated management of cauda equina syndrome through a bibliographic search of high-impact scientific articles. materials and methods: a review of scientific articles from the last 4 years was carried out in the search engines PubMed and Google Scholar with the keyword "cauda equina syndrome". Conclusion: The diagnosis of cauda equina syndrome is clinical, for this we have to take into account the symptoms called "red flags" and perform a good physical examination, the best imaging study for this pathology is magnetic resonance imaging and the treatment is surgical and must be performed within the first 48 hours. In Ecuador, following the guidelines that the bibliography says would be difficult to carry out in the given time, but not impossible.