Texas cauda equina syndrome expert witnesses assess suspected spinal nerve compression and the timeliness of diagnosis and treatment. They often are board-certified neurosurgeons, orthopedic spine surgeons, neurologists, or emergency physicians with experience in MRI triage and decompression. Many practice within major Texas systems tied to Houston Medical Center and UT Southwestern. They evaluate red-flag symptoms, imaging interpretation, surgical timing, and resulting neurologic deficits.