Cerebral Fat Embolisms Secondary to Rupture of a Tarlov Cyst

Kortazar-Zubizarreta, Izaro; Menoyo, José Luis Sánchez; Ojeda, Javier Ruiz; Olabarria, Iñigo Vicente; Carra, J.C. García-Moncó

doi:10.1111/j.1552-6569.2012.00782.x

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…Literature reports of a case of spontaneous haemorrhage of a TC, which caused lower back pain, perineal numbness, and urinary retention, as a rare complication of anticoagulant therapy, that ceased, along with all the symptoms, without need of treatment [9]. Bone sacral fractures extending into a TC [10][11][12] might cause cerebral fat embolism through the CSF, and in these cases, there is an association of neurological symptoms and a history of sacro-coccygeal trauma.…”

Section: Discussionmentioning

confidence: 99%

Post-Traumatic Haemorrhagic Tarlov’s Cyst: a Case Report and Review of Literature

Imreh

Gadda

Pandolfo

et al. 2023

SN Compr. Clin. Med.

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Tarlov's cysts (TC) are benign dilations of the spinal nerve root sheaths that can arise all along the spine, more frequently at sacral level. In the majority of cases, TC are incidental and asymptomatic, but they can cause a large variety of symptoms if there is an increase in their size or if rupture or intracystic haemorrhage occurs. We present the case of a 55-year-old woman with sciatica-like pain ensuing from rupture and intracystic bleeding of a Tarlov's cyst after a lumbo-sacral trauma due to a syncope. Tarlov's cysts can cause a wide variety of symptoms. In our case, the rupture and intracystic haemorrhage of the Tarlov's cyst caused a sciatica-like pain. We were able to ascertain the presence of an intracystic haemorrhage thanks to a previous MR in which the cyst had CSF-like content.

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Section: Discussionmentioning

confidence: 99%

Post-Traumatic Haemorrhagic Tarlov’s Cyst: a Case Report and Review of Literature

Imreh

Gadda

Pandolfo

et al. 2023

SN Compr. Clin. Med.

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“…Although cysts rarely become large enough to spontaneously rupture, they have been reported in case reports to rupture with CSF leakage resulting in intracranial hypotension [ 16 , 61 ]. Two unusual case reports dealt with a cerebral fat embolism after a traumatic rupture of a Tarlov cyst secondary to a sacral fracture after a fall with a low back injury [ 62 , 63 ]. The fatty bone marrow was believed to have migrated from the sacral fracture to the brain through a dural breech of the cyst.…”

Section: Clinical Impactmentioning

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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