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Persistent Genital Arousal Disorder Caused by Spinal Meningeal Cysts in the Sacrum: Successful Neurosurgical Treatment.
Obstet Gynecol. 2015 Oct; 126(4):839-43.OG

Abstract

OBJECTIVE

To evaluate whether treatment of spinal meningeal cysts that compress sacral spinal nerve roots is associated with relief of persistent genital arousal disorder.

METHODS

In this case series we encountered a group of patients with persistent genital arousal disorder among a larger cohort undergoing a prospective outcomes study on the surgical treatment of symptomatic spinal meningeal cysts. Epidemiologic data were collected and the type, number, and location of the meningeal cysts in each patient were determined on magnetic resonance imaging. Postoperatively patients were asked to self-report whether their persistent genital arousal disorder was eliminated, significantly better, the same, or worse.

RESULTS

In a cohort of 1,045 patients with symptomatic spinal meningeal cysts, we identified 11 with persistent genital arousal disorder; all were female and all had meningeal cysts in the sacral spinal canal causing sacral nerve root compression. In addition to persistent genital arousal disorder, all patients had other symptoms typical of sacral nerve root compression such as perineal, bladder, and bowel symptoms. Although multiple types of meningeal cysts were encountered, Tarlov cysts were the most common (8/11). Postoperatively, seven (64%) patients reported elimination of their persistent genital arousal disorder, three (27%) noted significant improvement, one (9%) said they were unchanged, and none experienced worsening with an average follow-up of 23 months ranging from 2 months to 6 years. Although Tarlov cysts were more numerous, the presence of persistent genital arousal disorder and the surgical outcomes appeared unrelated to the type of spinal meningeal cyst treated.

CONCLUSION

Our case series suggests that sacral nerve root compression caused by spinal meningeal cysts can cause persistent genital arousal disorder. The presence of nerve root compression appears to be more important than the particular type of meningeal cyst involved. Microsurgical cyst treatment cured or significantly reduced persistent genital arousal disorder symptoms in 91% of the patients.

LEVEL OF EVIDENCE

III.

Authors+Show Affiliations

Feigenbaum Neurosurgery, Dallas, Texas.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26348167

Citation

Feigenbaum, Frank, and Kaitlynn Boone. "Persistent Genital Arousal Disorder Caused By Spinal Meningeal Cysts in the Sacrum: Successful Neurosurgical Treatment." Obstetrics and Gynecology, vol. 126, no. 4, 2015, pp. 839-43.
Feigenbaum F, Boone K. Persistent Genital Arousal Disorder Caused by Spinal Meningeal Cysts in the Sacrum: Successful Neurosurgical Treatment. Obstet Gynecol. 2015;126(4):839-43.
Feigenbaum, F., & Boone, K. (2015). Persistent Genital Arousal Disorder Caused by Spinal Meningeal Cysts in the Sacrum: Successful Neurosurgical Treatment. Obstetrics and Gynecology, 126(4), 839-43. https://doi.org/10.1097/AOG.0000000000001060
Feigenbaum F, Boone K. Persistent Genital Arousal Disorder Caused By Spinal Meningeal Cysts in the Sacrum: Successful Neurosurgical Treatment. Obstet Gynecol. 2015;126(4):839-43. PubMed PMID: 26348167.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Persistent Genital Arousal Disorder Caused by Spinal Meningeal Cysts in the Sacrum: Successful Neurosurgical Treatment. AU - Feigenbaum,Frank, AU - Boone,Kaitlynn, PY - 2015/9/9/entrez PY - 2015/9/9/pubmed PY - 2016/1/9/medline SP - 839 EP - 43 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 126 IS - 4 N2 - OBJECTIVE: To evaluate whether treatment of spinal meningeal cysts that compress sacral spinal nerve roots is associated with relief of persistent genital arousal disorder. METHODS: In this case series we encountered a group of patients with persistent genital arousal disorder among a larger cohort undergoing a prospective outcomes study on the surgical treatment of symptomatic spinal meningeal cysts. Epidemiologic data were collected and the type, number, and location of the meningeal cysts in each patient were determined on magnetic resonance imaging. Postoperatively patients were asked to self-report whether their persistent genital arousal disorder was eliminated, significantly better, the same, or worse. RESULTS: In a cohort of 1,045 patients with symptomatic spinal meningeal cysts, we identified 11 with persistent genital arousal disorder; all were female and all had meningeal cysts in the sacral spinal canal causing sacral nerve root compression. In addition to persistent genital arousal disorder, all patients had other symptoms typical of sacral nerve root compression such as perineal, bladder, and bowel symptoms. Although multiple types of meningeal cysts were encountered, Tarlov cysts were the most common (8/11). Postoperatively, seven (64%) patients reported elimination of their persistent genital arousal disorder, three (27%) noted significant improvement, one (9%) said they were unchanged, and none experienced worsening with an average follow-up of 23 months ranging from 2 months to 6 years. Although Tarlov cysts were more numerous, the presence of persistent genital arousal disorder and the surgical outcomes appeared unrelated to the type of spinal meningeal cyst treated. CONCLUSION: Our case series suggests that sacral nerve root compression caused by spinal meningeal cysts can cause persistent genital arousal disorder. The presence of nerve root compression appears to be more important than the particular type of meningeal cyst involved. Microsurgical cyst treatment cured or significantly reduced persistent genital arousal disorder symptoms in 91% of the patients. LEVEL OF EVIDENCE: III. SN - 1873-233X UR - https://www.unboundmedicine.com/medline/citation/26348167/Persistent_Genital_Arousal_Disorder_Caused_by_Spinal_Meningeal_Cysts_in_the_Sacrum:_Successful_Neurosurgical_Treatment_ L2 - http://dx.doi.org/10.1097/AOG.0000000000001060 DB - PRIME DP - Unbound Medicine ER -