Tarlov Cyst: A Case Report
Case Report: Tarlov cyst is rare perineural cyst, which may be symptomatic and present with with low back pain, sciatica, coccydynia or cauda equina syndrome. Symptomatic tarlov cyst needs to be removed surgically. We present such a rare case of symptomatic sacral cystic mass (tarlov cyst) presenting with severe lower back pain for months which was successfully treated by sacral laminotomy and cyst excision. The aim of reporting this case was to create awareness among the surgeons regarding this rare entity and to include it in differential diagnosis of chronic low back pain.
2. Prashad B, Jain AK, Dhammi IK. Tarlov cyst: Case report and review of literature. Indian J Orthop. 2007;41(4):401–403.
3. Paulsen RD, Call GA, Murtagh FR. Prevalence and percutaneous drainage of cysts of the sacral nerve root sheath (Tarlov cysts) AJNR Am J Neuroradiol. 1994;15:293–9.
4. Acosta FL, Quinones-Hinojosa A, Schmidt MH, Weinstein PR. Diagnosis and management of sacral Tarlov cysts: Case report and review of the literature. Neurosurg Focus. 2003;15:E15.
5. Rodziewicz GS, Kaufman B, Spetzler RF. Diagnosis of sacral perineural cysts by nuclear magnetic resonance. Surg Neurol. 1984;22:50–2.
6. Tarlov IM. Cysts (perineurial) of the sacral roots. J Am Med Assoc. 1948;138:740–4.
7. Tarlov IM. Spinal perineurial and meningeal cysts. J Neural Neurosurg Psychiatry. 1970;33:833–43.
8. Schreiber F, Haddad B. Lumbar and sacral cysts causing pain. J Neurosurg. 1951;8:504–9.
9. Fortuna A, La Torre E, Ciappetta P. Arachnoid diverticula: A unitary approach to spinal cysts communicating with the subarachnoid space. Acta Neurochir (Wien) 1977;39:259–68.
10. Caspar W, Papavero L, Nabhan A, Loew C, Ahlhelm F. Microsurgical excision of symptomatic sacral perineurial cysts: A study of 15 cases. Surg Neurol. 2003;59:101–6.
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