Tarlov Cysts

Spine Surgery ◽  
2005 ◽  
pp. 1124-1130
Author(s):  
Jean-Marc Voyadzis ◽  
Fraser C. Henderson
Keyword(s):  
2014 ◽  
Vol 21 (5) ◽  
pp. 833-836 ◽  
Author(s):  
Bonnie Wang ◽  
Seong-Jin Moon ◽  
William C. Olivero ◽  
Huan Wang

Patients with Marfan syndrome used to succumb early in life from cardiovascular complications. With the current rapid advance in medical and surgical care, such patients may now have near-normal longevities. Consequently, rare late-life complications are emerging in these patients and represent challenges to clinicians for their diagnoses and treatments. The authors report a rare case of pelvic pain and genital prolapse from a giant presacral Tarlov cyst in a 67-year-old patient with Marfan syndrome. This 67-year-old Caucasian female presented with progressively severe pelvic pain, intermittent explosive diarrhea, and dysuria. Physical and bimanual examination demonstrated genital prolapse and a nontender, cyst-like mass fixed in the midline. She underwent ultrasound, CT, and eventually MRI evaluations that led to the diagnosis of a giant (6.7 × 6.4 × 6.6 cm) Tarlov cyst originating from the right S-2 nerve root sleeve/sacral foramen with intrapelvic extension. She underwent S1–S2 and S2–S3 laminectomy with obliteration of the Tarlov cyst using aneurysm clips. Postoperatively, her pelvic pain and bowel symptoms resolved and the bladder symptoms improved. The 3-month follow-up CT of abdomen/pelvis demonstrated resolution of the cyst. The present case illustrates that clinicians caring for elderly patients with Marfan syndrome need to increasingly recognize such unusual late-life complications. Also, these large Tarlov cysts can be simply and effectively obliterated with aneurysm clips.


2013 ◽  
Vol 4 (3) ◽  
pp. 35-42
Author(s):  
Netra Rana ◽  
Shao Hui Ma ◽  
Ming Zhang ◽  
Subesh Dahal ◽  
Zhi-Gang Min

Corrections: on Page 38 in the 4th line of text, the information in brackets (Figure 1, 2, 3a and 4) was replaced on 24th June 2013 with (Figure 1. 2 3b and 4). The number of the references has also been changed. The corrected PDF is available by clicking the link below.Aim: To analyze the characteristics of symptomatic Tarlov cysts by MRI. Materials and Methods: Neuroimaging and clinical outcome data were reviewed of 48 consecutive patients treated for symptomatic Tarlov cysts. All patients were scanned under Philips Gyroscan Intera 1.5T scanner with spinal surface coils. Two widely used surgical procedures were performed, 1) incision and drainage of the cyst with imbrication of the redundant nerve root sheath, and 2) exposure of the cyst, drainage of cyst contents, identification of nerve roots, and cyst wall resection combined with duraplasty. The post-operation follow-up was obtained from return visits to the neurosurgery and orthopaedic out-patient department or by telephone questionnaires. Results: All cystic lesions showed hypointense signal intensity on T1WI and hyperintense signal intensity on T2WI, but the nerve root showed iso-intensity on T1WI and low signal intensity on T2WI. They were linear in shape on sagittal view, and hypo intense dotted spots within the cysts on traverse view. Surrounding structures of the larger cysts were compressed and had bone erosions in some cases; the spinal canal and the intervertebral foramen on the affected side were enlarged. The lesions/cyst wall showed no enhancement after gadolinium administration. Conclusion: MRI will give a definite diagnosis of Tarlov cysts if nerve root presents within the cyst cavity or in the cyst wall; eliminating the need for histological confirmation. A correct analysis of the characteristics of symptomatic Tarlov cysts by MRI, will document its usefulness in noninvasive diagnosis and aid in exploration of the simplest treatment method. DOI: http://dx.doi.org/10.3126/ajms.v4i3.8056 Asian Journal of Medical Sciences 4(2013) 35-42


2018 ◽  
Vol 9 (1) ◽  
pp. 180 ◽  
Author(s):  
Kiyoshi Ito ◽  
SundayPatrick Nkwerem ◽  
Shunsuke Ichinose ◽  
Tetsuyoshi Horiuchi ◽  
Kazuhiro Hongo

Author(s):  
Kemal Yucesoy ◽  
Murat Yilmaz ◽  
Hulagu Kaptan ◽  
Ersin Ikizoglu ◽  
Mert Arslan ◽  
...  

Author(s):  
Zuowei Wang ◽  
Fengzeng Jian ◽  
Zan Chen ◽  
Hao Wu ◽  
Xingwen Wang ◽  
...  

2019 ◽  
Vol 12 (3) ◽  
pp. e227256 ◽  
Author(s):  
Kieran P Murphy ◽  
Susannah Ryan

A 65-year-old patient presenting with left labial and perirectal pain was diagnosed with bilateral Tarlov cysts. Upon treatment of the left Tarlov cyst (the right was asymptomatic) using image-guided aspiration and subsequent injection of the cyst with fibrin sealant, the cyst reduced in size. To our knowledge, there are currently no other documented cases in which the Tarlov cyst reduced in size following this procedure. This case would seem to suggest that clinicians are poorly informed with regard to Tarlov cysts. These cysts are more common in Caucasian women, many of whom are told their cysts are not responsible for their pain or that they are not treatable. However, there is clear evidence that some Tarlov cysts are symptomatic and minimally invasive procedures have been developed to treat them. As they primarily occur in women, it is possible gender bias may also play a role in the delayed diagnosis of the patient’s pain.


2019 ◽  
Vol 7 ◽  
pp. 2050313X1984469
Author(s):  
Konstantinos Kontoangelos ◽  
Marina Economou ◽  
Vasiliki Katsi ◽  
Charalambos Papageorgiou

Introduction: The spinal perineurial cyst is a rare anomaly of the nervous system. It is also known as Tarlov cyst, since it was described for the first time by Isadore M. Tarlov. The pathology is defined as a cystic dilatation between the perineurium and endoneurium of spinal nerve roots, located at the level of the spinal ganglion and filled with cerebrospinal fluid but without communication with the perineurial subarachnoid space. Case report: We present the case of a 56-year-old female who reported sudden onset of symptoms of a depressive symptomatology accompanied with acute pain in the lumbar area. Lumbosacral magnetic resonance imaging scan revealed Tarlov cysts. Discussion: Radiological investigations in patients with depressive symptomatology may be substantial.


2020 ◽  
Vol 75 (4) ◽  
pp. 230-231
Author(s):  
Victoria M. Lim ◽  
Rohit Khanna ◽  
Olga Kalinkin ◽  
Mario E. Castellanos ◽  
Michael Hibner

Cureus ◽  
2017 ◽  
Author(s):  
Seth E Pross ◽  
Jeffrey D Sharon ◽  
Michael Lim ◽  
Abhay Moghekar ◽  
Aruna Rao ◽  
...  

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