Symptomatic Tarlov cysts as a cause of low back pain A case report and literature review
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Published:
Oct 31, 2011
Keywords:
Tranexamic acid blood loss laminectomy spinal fusion spinal stenosis
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Abstract
Tarlov cysts are perineural cysts that were first described in 1938. Most of the cases were asymptomatic, and discovered coincidentally during investigation for other reasons. Different cases often presented different symptoms: lower back pain, buttock or leg pain, and neurological claudication. In those cases with severe neural element compression, neurological deficit occurred. It is often difficult to evaluate the causes of these symptoms, and thus make decisions concerning investigations or treatment. No guidelines for definite diagnoses exist, and no definitive treatments have been agreed upon.
Article Details
Section
Case Report
References
1. Tarlov IM. Perineural cysts of the spinal nerve roots. Arch Neurol Psychiatry. 1938; 40: 1067-74.
2. Tarlov IM. Cysts of the sacral nerve roots; clinical significance and pathogenesis. AMA Arch Neurol Psychiatry.1952; 68: 94-108.
3. Paulsen RD, Call GA, Murtagh FR. Prevalence and percutaneous drainage of cysts of the sacral nerve root sheath (Tarlov cysts). AJNR Am J Neuroradiol. 1994; 15: 293-97.
4. Tarlov IM: Spinal perineural and meningeal cyst.J Neurol Neurosurg Psychiatry.1970; 33: 833-43.
5. Fortuna A, La Torre E, Ciappetta. Arachnoid diverticula: a unitary approach spinal cysts communicating with subarachnoid space. Acta Neurochir. 1977; 39: 259-68.
6. Tanaka M, Nakahara S, Ito Y, Nakanishi K, Sugimoto Y, Ikauma H, et al: Surgical results of sacral perineural (Tarlov) cysts. Acta Med Okayama. 2006; 60: 65-70.
7. Goyal RN, Russell NA, Benoit BG. Intraspinal cysts: a classification and literature review. Spine. 1987; 12: 209-13.
8. Nabors MW, Pait TG, Byrd EB. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg. 1988; 68: 366-77.
9. J.-Y. Lee, P. Impekoven. CT-guided percutaneous aspiration of Tarlov cyst as a useful diagnostic procedure prior to operative intervention. Acta Neurochir. 2004; 146: 667–70.
10. Voyadzis JM, Bhargava P, Henderson FC. Tarlov cysts : A study of 10 cases with review of the literature. J Neurosurg. 2001; 95(1 Suppl): 25-32.
Bartels RH, van Overbeeke JJ. Lumbar cerebrospinal fluid drainage for symptomatic sacral nerve root cysts: an adjuvant diagnostic procedure and/or alternative treatment? Technical case report. Neurosurgery. 1997; 40: 861-4.
11. Patel MR, Louie W, Rachlin J. Percutaneous fibrin glue therapy of meningeal cysts of the sacral spine. AJR Am J Roentgenol. 1997; 168: 367-70.
12. Praveen VM, Lawrence HP, Bruce MM, Janet MC, Philip RW. Microsurgical treatment of symptomatic Tarlov cysts. Neurosurgery. 2000; 47: 74-9.
13. Caspar W, Papavero L, Nabhan A, Loew C, Ahlhelm F. Microsurgical excision of symptomatic sacral perineurial cysts: a study of 15 cases. Surg Neurol. 2003; 59: 101-5.
2. Tarlov IM. Cysts of the sacral nerve roots; clinical significance and pathogenesis. AMA Arch Neurol Psychiatry.1952; 68: 94-108.
3. Paulsen RD, Call GA, Murtagh FR. Prevalence and percutaneous drainage of cysts of the sacral nerve root sheath (Tarlov cysts). AJNR Am J Neuroradiol. 1994; 15: 293-97.
4. Tarlov IM: Spinal perineural and meningeal cyst.J Neurol Neurosurg Psychiatry.1970; 33: 833-43.
5. Fortuna A, La Torre E, Ciappetta. Arachnoid diverticula: a unitary approach spinal cysts communicating with subarachnoid space. Acta Neurochir. 1977; 39: 259-68.
6. Tanaka M, Nakahara S, Ito Y, Nakanishi K, Sugimoto Y, Ikauma H, et al: Surgical results of sacral perineural (Tarlov) cysts. Acta Med Okayama. 2006; 60: 65-70.
7. Goyal RN, Russell NA, Benoit BG. Intraspinal cysts: a classification and literature review. Spine. 1987; 12: 209-13.
8. Nabors MW, Pait TG, Byrd EB. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg. 1988; 68: 366-77.
9. J.-Y. Lee, P. Impekoven. CT-guided percutaneous aspiration of Tarlov cyst as a useful diagnostic procedure prior to operative intervention. Acta Neurochir. 2004; 146: 667–70.
10. Voyadzis JM, Bhargava P, Henderson FC. Tarlov cysts : A study of 10 cases with review of the literature. J Neurosurg. 2001; 95(1 Suppl): 25-32.
Bartels RH, van Overbeeke JJ. Lumbar cerebrospinal fluid drainage for symptomatic sacral nerve root cysts: an adjuvant diagnostic procedure and/or alternative treatment? Technical case report. Neurosurgery. 1997; 40: 861-4.
11. Patel MR, Louie W, Rachlin J. Percutaneous fibrin glue therapy of meningeal cysts of the sacral spine. AJR Am J Roentgenol. 1997; 168: 367-70.
12. Praveen VM, Lawrence HP, Bruce MM, Janet MC, Philip RW. Microsurgical treatment of symptomatic Tarlov cysts. Neurosurgery. 2000; 47: 74-9.
13. Caspar W, Papavero L, Nabhan A, Loew C, Ahlhelm F. Microsurgical excision of symptomatic sacral perineurial cysts: a study of 15 cases. Surg Neurol. 2003; 59: 101-5.