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Minimally Invasive Treatment for a Sacral Tarlov Cyst Through Tubular Retractors.
World Neurosurg. 2017 Dec; 108:993.e9-993.e11.WN

Abstract

BACKGROUND

Tarlov cysts (TC) are focal dilations of arachnoid and dura mater of the spinal posterior nerve root sheath that appear as cystic lesions of the nerve roots typically in the lower spine, especially in the sacrum, which can cause radicular symptoms when they increase in size and compress the nerve roots. Different open procedures have been described to treat TCs, but no minimally invasive procedures have been described to effectively address this pathology.

CASE DESCRIPTION

A 29-year-old woman presented with right lower extremity pain and weakness. A magnetic resonance imaging scan demonstrated a lumbosacral TC that protruded through the right L5-S1 foramina. Through a small laminotomy, cyst drainage followed by neck ligation using a Scanlan modified technique through tubular retractors was performed. The patient recovered full motor function within the first days postoperatively and showed no signs of relapse at 6-month follow-up.

CONCLUSIONS

Minimally invasive spine surgery through tubular retractors can be safely performed for successful excision and ligation of TC using a Scanlan modified technique.

Authors+Show Affiliations

Department of Neurosurgery, Hospital Central Sur de Alta Especialidad PEMEX, Mexico City, Mexico.Department of Neurological Surgery, New York-Presbyterian/Weill Cornell Medicine, New York, New York, USA.Department of Neurological Surgery, New York-Presbyterian/Weill Cornell Medicine, New York, New York, USA.Department of Neurological Surgery, New York-Presbyterian/Weill Cornell Medicine, New York, New York, USA.Department of Neurological Surgery, Weill Cornell Brain and Spine Center, New York, New York, USA. Electronic address: roger@hartlmd.net.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28890008

Citation

Del Castillo-Calcáneo, Juan D., et al. "Minimally Invasive Treatment for a Sacral Tarlov Cyst Through Tubular Retractors." World Neurosurgery, vol. 108, 2017, pp. 993.e9-993.e11.
Del Castillo-Calcáneo JD, Navarro-Ramírez R, Nakhla J, et al. Minimally Invasive Treatment for a Sacral Tarlov Cyst Through Tubular Retractors. World Neurosurg. 2017;108:993.e9-993.e11.
Del Castillo-Calcáneo, J. D., Navarro-Ramírez, R., Nakhla, J., Kim, E., & Härtl, R. (2017). Minimally Invasive Treatment for a Sacral Tarlov Cyst Through Tubular Retractors. World Neurosurgery, 108, e9-e11. https://doi.org/10.1016/j.wneu.2017.08.190
Del Castillo-Calcáneo JD, et al. Minimally Invasive Treatment for a Sacral Tarlov Cyst Through Tubular Retractors. World Neurosurg. 2017;108:993.e9-993.e11. PubMed PMID: 28890008.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Minimally Invasive Treatment for a Sacral Tarlov Cyst Through Tubular Retractors. AU - Del Castillo-Calcáneo,Juan D, AU - Navarro-Ramírez,Rodrigo, AU - Nakhla,Jonathan, AU - Kim,Eliana, AU - Härtl,Roger, Y1 - 2017/09/07/ PY - 2017/06/22/received PY - 2017/08/28/revised PY - 2017/08/30/accepted PY - 2017/9/12/pubmed PY - 2017/12/28/medline PY - 2017/9/12/entrez KW - Microsurgery KW - Minimally invasive spine surgery KW - Tarlov cyst KW - Tubular approach SP - 993.e9 EP - 993.e11 JF - World neurosurgery JO - World Neurosurg VL - 108 N2 - BACKGROUND: Tarlov cysts (TC) are focal dilations of arachnoid and dura mater of the spinal posterior nerve root sheath that appear as cystic lesions of the nerve roots typically in the lower spine, especially in the sacrum, which can cause radicular symptoms when they increase in size and compress the nerve roots. Different open procedures have been described to treat TCs, but no minimally invasive procedures have been described to effectively address this pathology. CASE DESCRIPTION: A 29-year-old woman presented with right lower extremity pain and weakness. A magnetic resonance imaging scan demonstrated a lumbosacral TC that protruded through the right L5-S1 foramina. Through a small laminotomy, cyst drainage followed by neck ligation using a Scanlan modified technique through tubular retractors was performed. The patient recovered full motor function within the first days postoperatively and showed no signs of relapse at 6-month follow-up. CONCLUSIONS: Minimally invasive spine surgery through tubular retractors can be safely performed for successful excision and ligation of TC using a Scanlan modified technique. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/28890008/Minimally_Invasive_Treatment_for_a_Sacral_Tarlov_Cyst_Through_Tubular_Retractors_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(17)31500-0 DB - PRIME DP - Unbound Medicine ER -