Balloon-Assisted Fistula Sealing Procedure for Symptomatic Tarlov Cysts

Zheng, Xiaohang; Li, Shiting; Huang, Song; Feng, Baohui; Zhang, Nu; Xie, Chaoran

doi:10.1016/j.wneu.2016.01.016

Cited by 16 publications

(5 citation statements)

References 10 publications

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“…We decided not to include any form of sealing of the cyst after aspiration to avoid the rebreeding risk. Although glue injection has been described in previous reports to prevent re-filling, we opted not to use it in our case to prevent the reconstitution of the compressive volume of the cyst on nerve S1 nerve root with filling agents (13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

CT-Guided Aspiration of a Hemorrhagic Tarlov Cyst for the Treatment of a Post-Partum Sciatica: A Case Report and a Review of the Literature

Serratrice¹,

Taifour²,

Attieh³

et al. 2022

Front. Surg.

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BackgroundTarlov or perineural cysts are dilations of nerve roots resulting from a pathologically increased cerebrospinal fluid pressure. Although it is very common in the general population, most of these cysts remain asymptomatic. In some cases, they can evolve and exert pressure on neural elements, independently from their initial size.Case reportIn this paper, we describe the case of a 33-year-old female known to have asymptomatic multiple and large radicular and pelvic Tarlov cysts. One cyst located in the right pelvic space progressed acutely after delivery, inducing a painful sciatica without neurological deficit. The intracystic bleeding can be a direct consequence of the delivery, leading to an acute and mechanical local compression of the right S1 root. A CT-guided puncture and aspiration allowed a complete recovery. This case report was completed by a review of the literature of these rare intracystic Tarlov bleedings.ConclusionsIntracystic hemorrhage is a rare complication of Tarlov cysts. Delivery-induced cyst bleeding was not described before. Patients known to have large and multiple Tarlov cysts should be monitored in post-partum, as their presence is considered a risk factor. Percutaneous cyst aspiration seems to be an effective and safe treatment to relieve symptoms.

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Section: Discussionmentioning

confidence: 99%

CT-Guided Aspiration of a Hemorrhagic Tarlov Cyst for the Treatment of a Post-Partum Sciatica: A Case Report and a Review of the Literature

Serratrice¹,

Taifour²,

Attieh³

et al. 2022

Front. Surg.

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“…However, it is important to be wary of the potential risk of surgical failure or concomitant infection with each of the shunts currently practiced in the clinic. Some scholars [20] adopted autologous tissue tamponade + nerve root cuff plasty in 22 patients with sacral cysts, and after retrospective analysis, it was found that the patients' preoperative pain symptoms were significantly relieved, and no cyst recurrence was seen in the review. Recent studies have shown [21] that this method is more helpful for the recovery of already damaged nerve function and has fewer postoperative complications, so it is increasingly used in clinical practice.…”

Section: Treatment Modalitiesmentioning

confidence: 99%

Advances in the Diagnosis and Treatment of Sacral Cysts

Li,

Liao,

et al. 2024

IJBLS

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Sacral cysts have become a neurological disease that has received widespread attention in recent years. Its etiology and pathogenesis are still unclear, and it is more commonly believed to be the result of the interaction of multiple factors, which leads to clinical symptoms such as chronic low back pain and dysfunction of urinary and fecal functions. The disease is detected and diagnosed by magnetic resonance imaging, and treatment options include conservative treatment, interventional therapy, and surgical removal. However, there is no consensus on the diagnosis and treatment of sacral cysts, which has led to stagnation in the diagnosis and treatment of this disease. This article summarizes the definition, epidemiological characteristics, etiology and pathogenesis, diagnosis and treatment of this disease, in order to provide certain reference for clinical work.

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“…There is no consensus on the optimal surgical method for Tarlov cysts, and there have been numerous evolving surgical techniques [ 17 , 18 , 108 – 112 ]. Laminectomy or laminoplasty to unroof the sacral canal is commonly followed by varying microneurosurgical techniques to aspirate CSF, decrease cyst size, block communication between the cyst and the subarachnoid space to prevent CSF re-accumulation, and close the wound [ 17 , 108 , 113 , 114 ].…”

Section: Treatmentsmentioning

confidence: 99%

“…There is no agreed upon optimal surgical treatment for patients with symptomatic Tarlov cysts, and the numerous evolving surgical techniques tend to support a lack of consensus [ 17 , 18 , 108 – 112 ]. Treatment considerations for these cases are complex and best based on a case-by-case basis depending on a variety of factors including the patients’ health status, characteristics of the sacral cyst, and adverse impacts in the sacral region and elsewhere.…”

Section: Treatmentsmentioning

confidence: 99%

Management of Tarlov cysts: an uncommon but potentially serious spinal column disease—review of the literature and experience with over 1000 referrals

Murphy,

Nasralla,

Pron

et al. 2023

Neuroradiology

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Tarlov cysts were thought to be anatomic variants of uncertain etiology and clinical significance when initially described over 80 years ago. They are often detected in routine lumbosacral imaging and generally not reported in a differential diagnosis. There is increasing evidence that at least some Tarlov cysts are symptomatic and can have a significant adverse impact on patients’ health and well-being. Women are disproportionately affected with this condition, often presenting with long-standing pain and neurological dysfunctions. Significant gender bias has been a concern in the management of these patients. Unfortunately, there is no consensus on patient selection or management approaches for symptomatic Tarlov cysts. This review article updates information on the prevalence, diagnosis, clinical significance, and treatments of these cysts. Based on these findings and experience with over 1000 patient referrals, a treatment decision algorithm for symptomatic Tarlov cysts was constructed to provide guidance for appropriate management of patients with these complex cysts.

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Balloon-Assisted Fistula Sealing Procedure for Symptomatic Tarlov Cysts

Cited by 16 publications

References 10 publications

CT-Guided Aspiration of a Hemorrhagic Tarlov Cyst for the Treatment of a Post-Partum Sciatica: A Case Report and a Review of the Literature

CT-Guided Aspiration of a Hemorrhagic Tarlov Cyst for the Treatment of a Post-Partum Sciatica: A Case Report and a Review of the Literature

Advances in the Diagnosis and Treatment of Sacral Cysts

Management of Tarlov cysts: an uncommon but potentially serious spinal column disease—review of the literature and experience with over 1000 referrals

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