Haemorrhagic Tarlov cyst: A rare complication of anticoagulation therapy

Soon, Wai Cheong; Sun, Rosa; Czyż, Marcin

doi:10.1093/omcr/omab063

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Voyadzis et al noticed worsening of symptoms in a patient treated with percutaneous aspiration of a symptomatic perineural cyst and suggested that this could have been due to haemorrhage of the cyst wall or to nerve root injury [8]. 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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“…Symptomatic Tarlov cysts are not frequent and cases of intracystic hemorrhage appear to be extremely rare ( 2 , 3 , 9 ). Hemorrhagic cysts are mainly described as complications of trauma or anticoagulation therapies ( 10 ). To the best of our knowledge, this is the first reported case of delivery-induced bleeding within a previously asymptomatic Tarlov cyst leading to sciatica.…”

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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Post-traumatic hemorrhage in a large sacral Tarlov cyst causing acute radiculopathy

Jacob,

Gupta

2024

IJMSR

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Symptomatic Tarlov cysts (TCs) are an under-recognized clinical entity that should be considered in the differential for lower back pain. These are more common in women and can also be a cause of pelvic pain. Hemorrhagic TCs have been rarely reported in the literature, with symptoms ranging from lower back pain and radiculopathy to symptoms of cauda equina syndrome. We report on a female patient in her 50s who presented with radicular symptoms as a consequence of TC hemorrhage. Magnetic resonance imaging is the gold standard investigation, and this showed post-traumatic hemorrhage causing irritation of the sciatic nerve. Hemorrhagic TC is an important differential to consider in the setting of acute radicular pain, and the symptoms can be resolved with conservative management.

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Haemorrhagic Tarlov cyst: A rare complication of anticoagulation therapy

Cited by 3 publications

References 5 publications

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

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

Post-traumatic hemorrhage in a large sacral Tarlov cyst causing acute radiculopathy

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