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Tarlov cyst and infertility.
J Spinal Cord Med. 2009; 32(2):191-7.JS

Abstract

BACKGROUND/OBJECTIVE

Tarlov cysts or spinal perineurial cysts are uncommon lesions. These are mostly incidental findings on magnetic resonance imaging or myelograms. The objectives of this study were to describe Tarlov cysts of the sacral region as a potential cause for retrograde ejaculations and review available management options.

METHODS

Case report and literature review.

RESULTS

A 28-year-old man presented with back pain and retrograde ejaculations resulting in infertility. After microsurgical excision of large perineurial cysts, back pain resolved, but semen quality showed only marginal improvement. Later, the couple successfully conceived by intrauterine insemination. To the best of our knowledge, this is the first reported case of Tarlov cyst associated with retrograde ejaculation and infertility.

CONCLUSIONS

Despite being mostly asymptomatic and an incidental finding, Tarlov cyst is an important clinical entity because of its tendency to increase in size with time. Tarlov cysts of the sacral and cauda equina region may be a rare underlying cause in otherwise unexplained retrograde ejaculations and infertility. Microsurgical excision may be a good option in a select group of patients.

Authors+Show Affiliations

Department of Neurosurgery, Royal Hallamshire Hospital, Sheffield, S10 2JF, UK. we.publish@googlemail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

19569467

Citation

Singh, Pankaj Kumar, et al. "Tarlov Cyst and Infertility." The Journal of Spinal Cord Medicine, vol. 32, no. 2, 2009, pp. 191-7.
Singh PK, Singh VK, Azam A, et al. Tarlov cyst and infertility. J Spinal Cord Med. 2009;32(2):191-7.
Singh, P. K., Singh, V. K., Azam, A., & Gupta, S. (2009). Tarlov cyst and infertility. The Journal of Spinal Cord Medicine, 32(2), 191-7.
Singh PK, et al. Tarlov Cyst and Infertility. J Spinal Cord Med. 2009;32(2):191-7. PubMed PMID: 19569467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tarlov cyst and infertility. AU - Singh,Pankaj Kumar, AU - Singh,Vinay Kumar, AU - Azam,Amir, AU - Gupta,Sanjeev, PY - 2009/7/3/entrez PY - 2009/7/3/pubmed PY - 2009/7/31/medline SP - 191 EP - 7 JF - The journal of spinal cord medicine JO - J Spinal Cord Med VL - 32 IS - 2 N2 - BACKGROUND/OBJECTIVE: Tarlov cysts or spinal perineurial cysts are uncommon lesions. These are mostly incidental findings on magnetic resonance imaging or myelograms. The objectives of this study were to describe Tarlov cysts of the sacral region as a potential cause for retrograde ejaculations and review available management options. METHODS: Case report and literature review. RESULTS: A 28-year-old man presented with back pain and retrograde ejaculations resulting in infertility. After microsurgical excision of large perineurial cysts, back pain resolved, but semen quality showed only marginal improvement. Later, the couple successfully conceived by intrauterine insemination. To the best of our knowledge, this is the first reported case of Tarlov cyst associated with retrograde ejaculation and infertility. CONCLUSIONS: Despite being mostly asymptomatic and an incidental finding, Tarlov cyst is an important clinical entity because of its tendency to increase in size with time. Tarlov cysts of the sacral and cauda equina region may be a rare underlying cause in otherwise unexplained retrograde ejaculations and infertility. Microsurgical excision may be a good option in a select group of patients. SN - 1079-0268 UR - https://www.unboundmedicine.com/medline/citation/19569467/Tarlov_cyst_and_infertility_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19569467/ DB - PRIME DP - Unbound Medicine ER -