Symptomatic sacral perineurial (Tarlov) cysts

Sacral perineurial (Tarlov) cysts are rare lesions. Over a seven year period 4000 patients underwent surgery for lumbar disk herniation. In three patients neurological symptoms were caused by large sacral perineurial cysts. Methods of choice for diagnosis of Tarlov cysts are lumbosacral magnetic res...

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Published inCollegium antropologicum Vol. 33; no. 4; p. 1401
Main Authors Sajko, Tomislav, Kovać, Damir, Kudelić, Nenad, Kovac, Lana
Format Journal Article
LanguageEnglish
Published Croatia 01.12.2009
Subjects
Aged
Croatia
Female
Humans
Low Back Pain - etiology
Magnetic Resonance Imaging
Microsurgery
Middle Aged
Radiculopathy - etiology
Sacrococcygeal Region
Tarlov Cysts - complications
Tarlov Cysts - pathology
Tarlov Cysts - surgery
Croatia
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Summary:Sacral perineurial (Tarlov) cysts are rare lesions. Over a seven year period 4000 patients underwent surgery for lumbar disk herniation. In three patients neurological symptoms were caused by large sacral perineurial cysts. Methods of choice for diagnosis of Tarlov cysts are lumbosacral magnetic resonance imaging and computerized tomography myelography. The majority of Tarlov cysts are asymptomatic. In case of large (> or = 1.5 cm) and symptomatic perineurial cyst, as in three patients reported in this article, microsurgical treatment was successful. Although rare, perineurial (Tarlov) cysts must be taken into consideration when approaching to patient with low back and radicular pain. Authors review the medical literature, pathological and pathophysiological features and treatment options of sacral perineurial cysts.
ISSN:0350-6134