scholarly journals Shrinking of a Tarlov cyst

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.

2016 ◽  
Vol 20 (1) ◽  
Author(s):  
Gulraiz Chaudry

Paediatric interventional radiology (IR) is a rapidly developing subspecialty, seeking to meet the increasing demand for image-guided minimally invasive procedures. The wide range of procedures performed and the conditions treated reflect the varying ages and complexity of the patient population. This article reviews the various interventional procedures performed and the unique challenges faced in paediatric IR. Conditions, such as vascular anomalies, that are primarily treated by paediatric interventional radiologists are highlighted. The requirements for establishing a paediatric IR practice are reviewed, as are the challenges facing the future development of the specialty.Keywords: pediatric interventional radiology


2021 ◽  
Author(s):  
Ryan Jason DL. Urgel ◽  
Imarzen V. Elepano

Objective. This study aimed to develop a patient-safety checklist for use during fluoroscopic- or image-guided minimally-invasive procedures in the Department of Radiology, Philippine General Hospital.Methodology. A comparison of the Radiological Patient Safety System (RADPASS) and the Cardiovascular and Interventional Society of Europe (CIRSE) checklists was done. Together with the knowledge of the workflow and through observation of the different procedures in the department, a checklist was developed to suit the appropriate hospital setting. This developed checklist was tested in several procedures, and was evaluated and modified during trial testing.Result. A patient safety checklist for minimally-invasive and fluoroscopic procedures in the Department of Radiology, Philippine General Hospital was developed through the analysis of the workflow of the department, and observation during the data gathering and trial testing phases.Conclusion. This simple tool was developed to ensure that all the necessary details before a procedure have been addressed. It has been made as simple as possible, to make it user-friendly. The developed checklist is a step forward in promoting and ensuring the safety of patients undergoing fluoroscopic and minimally-invasive procedures in the Department of Radiology, PGH.


2006 ◽  
Vol 21 (1) ◽  
pp. 61-65 ◽  
Author(s):  
S. Beutner ◽  
M. May ◽  
B. Hoschke ◽  
C. Helke ◽  
M. Lein ◽  
...  

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.


2007 ◽  
Vol 51 (4) ◽  
pp. 1015-1022 ◽  
Author(s):  
Thomas Frede ◽  
Ahmed Hammady ◽  
Jan Klein ◽  
Dogu Teber ◽  
Noriyuki Inaki ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kelly E. Diaz ◽  
Douglas Tremblay ◽  
Begum Ozturk ◽  
Ghideon Ezaz ◽  
Suzanne Arinsburg ◽  
...  

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