Myelographic CT, A Check-Valve Mechanism, and Microsurgical Treatment of Sacral Perineural Tarlov Cysts

Kikuchi, Miyu; Takai, Keisuke; Isoo, Ayako; Taniguchi, Makoto

doi:10.1016/j.wneu.2019.12.163

Cited by 12 publications

(3 citation statements)

References 13 publications

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“…Thus, spinal endoscopic techniques demonstrate preliminary clinical efficacy, offering enhanced patient safety and minimal invasiveness, making them a worthwhile avenue for promotion. We believe that the science and rationality of endoscopy technology can be discussed from the perspective of fluid mechanics, so as to provide guidance for the study of endoscopic surgery mechanism ( 52 ), this is what we will study in depth next.…”

Section: Discussionmentioning

confidence: 99%

A bibliometric and visualization study of global research trends in sacral Tarlov cyst from 2000 to 2022

Lu,

Bao,

Wang

et al. 2024

Front. Surg.

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BackgroundSymptomatic sacral Tarlov cyst (STC) exerts a significant negative impact on the patient's quality of life, highlighting the significance of the increasing number of studies on STC. However, bibliometric analyses in this research field are scarce. Thus, this study aims to provide a comprehensive knowledge structure and identify the research trends of STC through bibliometrics.MethodsArticles related to STC from 2000 to 2022 were sourced from the Web of Science Core Collection database. VOSviewer 1.6.16, CiteSpace 6.1.6, GraphPad Prism 8.2.1 and R-package “bibliometrix” were used to analyse the data and generate knowledge maps.ResultsA total of 930 studies on STC from 2000 to 2022 were included. The findings revealed a consistent yet upward trend in the number of annual publications in this field. The United States, China and Turkey were the most prolific and influential countries contributing to this field, with the University of Illinois, the University of Maryland and the National Institute of Standards & Technology being the most notable research institutions. Key journals include World Neurosurgery [Impact Factor (IF) = 2.210], Journal of Vascular Surgery (IF = 4.860) and Journal of Neurosurgery-Spine (IF = 3.467). Additionally, Tarlov Mj, Tarlov E and Zachariah Mr exhibit the highest number of publications, making them the leading authors in this field. A twenty-year retrospection of research trends using keyword analysis reveals four principal directions, namely “definition”, “pathogenesis”, “diagnosis” and “treatment”. Currently, therapeutic surgical intervention is the key treatment for this disease, with future treatments primarily hinging on minimally invasive methodologies rooted in microendoscopic and endoscopic techniques.ConclusionThis pioneering, comprehensive scientific bibliometric study provides a holistic summary of STC research trends and hot spots spanning the past 22 years. The results identify existing research frontiers and chart maps for future studies, serving as a valuable reference for scholars vested in this field.

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Section: Discussionmentioning

confidence: 99%

A bibliometric and visualization study of global research trends in sacral Tarlov cyst from 2000 to 2022

Lu,

Bao,

Wang

et al. 2024

Front. Surg.

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“…Simple resection of cyst wall or clipping are less commonly practiced, as they are considered a hazard to the sacral nerves within the cyst [ 18 ]. A cyst wall fenestration rather than cyst wall resection has been recommended to avoid or minimize any damage to the neural elements lying along the cyst wall [ 17 , 115 ].…”

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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“…Currently, identification of the leakage orificium is challenging, which poses great difficulties for surgeons in designing the incision and surgical extent ( 3 ). For accurate diagnosis and treatment via minimally invasive procedures, preoperative assessment of the location, size, and leakage orificium of the cysts is necessary ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imaging

Yang,

Lou,

Huang

et al. 2024

Front. Neurol.

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ObjectiveThis study aimed to develop an arbitrary-dimensional nerve root reconstruction magnetic resonance imaging (ANRR-MRI) technique for identifying the leakage orificium of sacral meningeal cysts (SMCs) without spinal nerve root fibres (SNRFs).MethodsThis prospective study enrolled 40 consecutive patients with SMCs without SNRFs between March 2021 and March 2022. Magnetic resonance neural reconstruction sequences were performed for preoperative evaluation. The cyst and the cyst-dura intersection planes were initially identified based on the original thin-slice axial T2-weighted images. Sagittal and coronal images were then reconstructed by setting each intersecting plane as the centre. Then, three-dimensional reconstruction was performed, focusing on the suspected leakage point of the cyst. Based on the identified leakage location and size of the SMC, individual surgical plans were formulated.ResultsThis cohort included 30 females and 10 males, with an average age of 42.6 ± 12.2 years (range, 17–66 years). The leakage orificium was located at the rostral pole of the cyst in 23 patients, at the body region of the cyst in 12 patients, and at the caudal pole in 5 patients. The maximum diameter of the cysts ranged from 2 cm to 11 cm (average, 5.2 ± 1.9 cm). The leakage orificium was clearly identified in all patients and was ligated microscopically through a 4 cm minimally invasive incision. Postoperative imaging showed that the cysts had disappeared.ConclusionANRR-MRI is an accurate and efficient approach for identifying leakage orificium, facilitating the precise diagnosis and surgical treatment of SMCs without SNRFs.

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Myelographic CT, A Check-Valve Mechanism, and Microsurgical Treatment of Sacral Perineural Tarlov Cysts

Cited by 12 publications

References 13 publications

A bibliometric and visualization study of global research trends in sacral Tarlov cyst from 2000 to 2022

A bibliometric and visualization study of global research trends in sacral Tarlov cyst from 2000 to 2022

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

Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imaging

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