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Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature.
Neurosurg Focus. 2003 Aug 15; 15(2):E15.NF

Abstract

Perineurial (Tarlov) cysts are meningeal dilations of the posterior spinal nerve root sheath that most often affect sacral roots and can cause a progressive painful radiculopathy. Tarlov cysts are most commonly diagnosed by lumbosacral magnetic resonance imaging and can often be demonstrated by computerized tomography myelography to communicate with the spinal subarachnoid space. The cyst can enlarge via a net inflow of cerebrospinal fluid, eventually causing symptoms by distorting, compressing, or stretching adjacent nerve roots. It is generally agreed that asymptomatic Tarlov cysts do not require treatment. When symptomatic, the potential surgery-related benefit and the specific surgical intervention remain controversial. The authors describe the clinical presentation, treatment, and results of surgical cyst fenestration, partial cyst wall resection, and myofascial flap repair and closure in a case of a symptomatic sacral Tarlov cyst. They review the medical literature, describe various theories on the origin and pathogenesis of Tarlov cysts, and assess alternative treatment strategies.

Authors+Show Affiliations

Department of Neurological Surgery, University of California, San Francisco, San Francisco, California 94143-0112, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

15350046

Citation

Acosta, Frank L., et al. "Diagnosis and Management of Sacral Tarlov Cysts. Case Report and Review of the Literature." Neurosurgical Focus, vol. 15, no. 2, 2003, pp. E15.
Acosta FL, Quinones-Hinojosa A, Schmidt MH, et al. Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurg Focus. 2003;15(2):E15.
Acosta, F. L., Quinones-Hinojosa, A., Schmidt, M. H., & Weinstein, P. R. (2003). Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurgical Focus, 15(2), E15.
Acosta FL, et al. Diagnosis and Management of Sacral Tarlov Cysts. Case Report and Review of the Literature. Neurosurg Focus. 2003 Aug 15;15(2):E15. PubMed PMID: 15350046.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. AU - Acosta,Frank L,Jr AU - Quinones-Hinojosa,Alfredo, AU - Schmidt,Meic H, AU - Weinstein,Philip R, Y1 - 2003/08/15/ PY - 2004/9/8/pubmed PY - 2005/5/6/medline PY - 2004/9/8/entrez SP - E15 EP - E15 JF - Neurosurgical focus JO - Neurosurg Focus VL - 15 IS - 2 N2 - Perineurial (Tarlov) cysts are meningeal dilations of the posterior spinal nerve root sheath that most often affect sacral roots and can cause a progressive painful radiculopathy. Tarlov cysts are most commonly diagnosed by lumbosacral magnetic resonance imaging and can often be demonstrated by computerized tomography myelography to communicate with the spinal subarachnoid space. The cyst can enlarge via a net inflow of cerebrospinal fluid, eventually causing symptoms by distorting, compressing, or stretching adjacent nerve roots. It is generally agreed that asymptomatic Tarlov cysts do not require treatment. When symptomatic, the potential surgery-related benefit and the specific surgical intervention remain controversial. The authors describe the clinical presentation, treatment, and results of surgical cyst fenestration, partial cyst wall resection, and myofascial flap repair and closure in a case of a symptomatic sacral Tarlov cyst. They review the medical literature, describe various theories on the origin and pathogenesis of Tarlov cysts, and assess alternative treatment strategies. SN - 1092-0684 UR - https://www.unboundmedicine.com/medline/citation/15350046/Diagnosis_and_management_of_sacral_Tarlov_cysts__Case_report_and_review_of_the_literature_ L2 - https://thejns.org/doi/10.3171/foc.2003.15.2.15 DB - PRIME DP - Unbound Medicine ER -