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Tarlov cysts: a controversial lesion of the sacral spine.
Neurosurg Focus. 2011 Dec; 31(6):E14.NF

Abstract

The primary aim of our study was to provide a comprehensive review of the clinical, imaging, and histopathological features of Tarlov cysts (TCs) and to report operative and nonoperative management strategies in patients with sacral TCs. A literature review was performed to identify articles that reported surgical and nonsurgical management of TCs over the last 10 years. Tarlov cysts are often incidental lesions found in the spine and do not require surgical intervention in the great majority of cases. When TCs are symptomatic, the typical clinical presentation includes back pain, coccyx pain, low radicular pain, bowel/bladder dysfunction, leg weakness, and sexual dysfunction. Tarlov cysts may be revealed by MR and CT imaging of the lumbosacral spine and must be meticulously differentiated from other overlapping spinal pathological entities. They are typically benign, asymptomatic lesions that can simply be monitored. To date, no consensus exists about the best surgical strategy to use when indicated. The authors report and discuss various surgical strategies including posterior decompression, cyst wall resection, CT-guided needle aspiration with intralesional fibrin injection, and shunting. In operative patients, the rates of short-term and long-term improvement in clinical symptoms are not clear. Although neurological deficit frequently improves after surgical treatment of TC, pain is less likely to do so.

Authors+Show Affiliations

Institute of Neurosurgery, Università Cattolica del Sacro Cuore, Rome, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22133181

Citation

Lucantoni, Corrado, et al. "Tarlov Cysts: a Controversial Lesion of the Sacral Spine." Neurosurgical Focus, vol. 31, no. 6, 2011, pp. E14.
Lucantoni C, Than KD, Wang AC, et al. Tarlov cysts: a controversial lesion of the sacral spine. Neurosurg Focus. 2011;31(6):E14.
Lucantoni, C., Than, K. D., Wang, A. C., Valdivia-Valdivia, J. M., Maher, C. O., La Marca, F., & Park, P. (2011). Tarlov cysts: a controversial lesion of the sacral spine. Neurosurgical Focus, 31(6), E14. https://doi.org/10.3171/2011.9.FOCUS11221
Lucantoni C, et al. Tarlov Cysts: a Controversial Lesion of the Sacral Spine. Neurosurg Focus. 2011;31(6):E14. PubMed PMID: 22133181.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tarlov cysts: a controversial lesion of the sacral spine. AU - Lucantoni,Corrado, AU - Than,Khoi D, AU - Wang,Anthony C, AU - Valdivia-Valdivia,Juan M, AU - Maher,Cormac O, AU - La Marca,Frank, AU - Park,Paul, PY - 2011/12/3/entrez PY - 2011/12/3/pubmed PY - 2012/8/31/medline SP - E14 EP - E14 JF - Neurosurgical focus JO - Neurosurg Focus VL - 31 IS - 6 N2 - The primary aim of our study was to provide a comprehensive review of the clinical, imaging, and histopathological features of Tarlov cysts (TCs) and to report operative and nonoperative management strategies in patients with sacral TCs. A literature review was performed to identify articles that reported surgical and nonsurgical management of TCs over the last 10 years. Tarlov cysts are often incidental lesions found in the spine and do not require surgical intervention in the great majority of cases. When TCs are symptomatic, the typical clinical presentation includes back pain, coccyx pain, low radicular pain, bowel/bladder dysfunction, leg weakness, and sexual dysfunction. Tarlov cysts may be revealed by MR and CT imaging of the lumbosacral spine and must be meticulously differentiated from other overlapping spinal pathological entities. They are typically benign, asymptomatic lesions that can simply be monitored. To date, no consensus exists about the best surgical strategy to use when indicated. The authors report and discuss various surgical strategies including posterior decompression, cyst wall resection, CT-guided needle aspiration with intralesional fibrin injection, and shunting. In operative patients, the rates of short-term and long-term improvement in clinical symptoms are not clear. Although neurological deficit frequently improves after surgical treatment of TC, pain is less likely to do so. SN - 1092-0684 UR - https://www.unboundmedicine.com/medline/citation/22133181/Tarlov_cysts:_a_controversial_lesion_of_the_sacral_spine_ L2 - https://thejns.org/doi/10.3171/2011.9.FOCUS11221 DB - PRIME DP - Unbound Medicine ER -