Percutaneous fibrin glue therapy of meningeal cysts of the sacral spine.

Patel, M. D.; Louie, William; Rachlin, Jacob

doi:10.2214/ajr.168.2.9016209

Cited by 109 publications

(84 citation statements)

References 6 publications

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“…5,6 Unfortunately, symptoms often recur after percutaneous cyst drainage because of recollection of CSF. Patel et al 7 described an improved method that involves fibrin glue placement into the cyst cavity after CSF aspiration. Some follow-up MR imaging performed in patients who had undergone fibrin glue therapy revealed that the CSF had not collected again 4 months after the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Some follow-up MR imaging performed in patients who had undergone fibrin glue therapy revealed that the CSF had not collected again 4 months after the procedure. 7 In this study, we performed the improved method in 38 patients with symptomatic sacral arachnoid cysts and conducted an average of 25 months of follow-up. In our follow-up evaluations, we found that 33 of our patients experienced some degree of pain relief and functional improvement after fibrin glue therapy, with most patients experiencing complete or marked resolution of clinical symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…5 Surgical excisions of the cyst, such as cyst wall resection or fulguration or complete cyst removal, are invasive and may be complicated by nerve injury, hemorrhages, CSF leaks, and recurrence of the cyst. 2,6 More recently, Patel et al 7 reported an improved method of managing these patients with sacral arachnoid cysts with severe clinical symptoms. The procedure involves cyst aspiration and placement of fibrin glue into the cyst cavity with CT guidance.…”

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confidence: 99%

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CT-Guided Percutaneous Injection of Fibrin Glue for the Therapy of Symptomatic Arachnoid Cysts

Shao¹,

Wang²,

Wu³

et al. 2011

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Although often asymptomatic, enlarging sacral arachnoid cysts can also cause significant discomfort. These symptomatic sacral arachnoid cysts require specific treatments to facilitate local decompression. The main drawback of the surgical managements is the high risk of recurrence and complications. To decrease risks, we had been attempting to seek a simple and safe method to manage the symptomatic sacral arachnoid cysts. CT-guided percutaneous fibrin glue therapy is a new nonsurgical alternative. To evaluate the efficacy of the novel nonsurgical approach, we conducted this retrospective study of 38 patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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CT-Guided Percutaneous Injection of Fibrin Glue for the Therapy of Symptomatic Arachnoid Cysts

Shao¹,

Wang²,

Wu³

et al. 2011

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

show abstract

“…Because of the rarity and unclear pathogenesis and pathophysiology of these cysts, there has been no definite consensus on the optimal treatment of symptomatic sacral perineural cysts. Surgical options include only simple decompressive laminectomy, both cyst and nerve root resection, incision and drainage of the cyst with imbrication of the redundant nerve root sheath, lumboperitoneal CSF shunting, and closure of the communication of the cyst with the dural sac [6][7][8][9]12,14) . However, simple decompression alone has proven not to be successful and cyst and nerve root resection may result in a neurological aggravation, and it is difficult to obtain watertight closure of the nerve root sleeve [8][9][10] .…”

Section: Discussionmentioning

confidence: 99%

Sacral Perineural Cyst Accompanying Disc Herniation

Shin

Kim

et al. 2009

J Korean Neurosurg Soc

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Although most of sacral perineural cysts are asymptomatic, some may produce symptoms. Specific radicular pain may be due to distortion, compression, or stretching of nerve root by a space occupying cyst. We report a rare case of S1 radiculopathy caused by sacral perineural cyst accompanying disc herniation. The patient underwent a microscopic discectomy at L5-S1 level. However, the patient's symptoms did not improved. The hypesthesia persisted, as did the right leg pain. Cyst-subarachnoid shunt was set to decompress nerve root and to equalize the cerebrospinal fluid pressure between the cephalad thecal sac and cyst. Immediately after surgery, the patient had no leg pain. After 6 months, the patient still remained free of leg pain.

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“…Oral and epidural steroid therapy may offer a nonsurgical alternative for the treatment of symptomatic Tarlov cysts when they are smaller than 1.5 cm 26 . CT-guided percutaneous decompression and fibrin glue injection tend to be clinically encouraging and are option for non-surgical practices, but may have some post-procedure complications as shown by previous studies 43,44 . Several surgical techniques have been introduced in various literatures for the treatment of symptomatic Tarlov cysts.…”

Section: Asian Journal Of Medical Sciences 4(2013) 35-42mentioning

confidence: 92%

Symptomatic Tarlov Cysts: an MRI evaluation of case series and literature review

et al. 2013

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Aim:To analyze the characteristics of symptomatic Tarlov cysts by MRI. Materials and Methods:Neuroimaging and clinical outcome data were reviewed of 48 consecutive patients treated for symptomatic Tarlov cysts. All patients were scanned under Philips Gyroscan Intera 1.5T scanner with spinal surface coils. Two widely used surgical procedures were performed, 1) incision and drainage of the cyst with imbrication of the redundant nerve root sheath, and 2) exposure of the cyst, drainage of cyst contents, identification of nerve roots, and cyst wall resection combined with duraplasty. The post-operation follow-up was obtained from return visits to the neurosurgery and orthopaedic out-patient department or by telephone questionnaires.Results: All cystic lesions showed hypointense signal intensity on T1WI and hyperintense signal intensity on T2WI, but the nerve root showed iso-intensity on T1WI and low signal intensity on T2WI. They were linear in shape on sagittal view, and hypo intense dotted spots within the cysts on traverse view. Surrounding structures of the larger cysts were compressed and had bone erosions in some cases; the spinal canal and the intervertebral foramen on the affected side were enlarged. The lesions/cyst wall showed no enhancement after gadolinium administration.Conclusion: MRI will give a definite diagnosis of Tarlov cysts if nerve root presents within the cyst cavity or in the cyst wall; eliminating the need for histological confirmation. A correct analysis of the characteristics of symptomatic Tarlov cysts by MRI, will document its usefulness in noninvasive diagnosis and aid in exploration of the simplest treatment method.

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Percutaneous fibrin glue therapy of meningeal cysts of the sacral spine.

Cited by 109 publications

References 6 publications

CT-Guided Percutaneous Injection of Fibrin Glue for the Therapy of Symptomatic Arachnoid Cysts

CT-Guided Percutaneous Injection of Fibrin Glue for the Therapy of Symptomatic Arachnoid Cysts

Sacral Perineural Cyst Accompanying Disc Herniation

Symptomatic Tarlov Cysts: an MRI evaluation of case series and literature review

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