Surgical management of symptomatic Tarlov cysts: cyst  fenestration and nerve root imbrication—a single institutional  experience

Medani, Khalid; Lawandy, Shokry; Schrot, Rudolph J.; Binongo, José; Kim, Kee D.; Panchal, Ripul R.

doi:10.21037/jss.2019.11.11

Cited by 19 publications

(31 citation statements)

References 19 publications

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“…They can exist at any location in the spine, with the sacrum (4.6%) the most common location. 48 49 50…”

Section: Extraosseous Neuronal Structures Mimicking Pathologiesmentioning

confidence: 99%

“…In those symptomatic patients, surgical resection or minimally invasive techniques, for example, CT-guided drainage of the cysts with or without fibrin glue or fibrin sealant, is proposed. 48 49 56 57 58 59 60 Perineural cysts are best seen on fluid-sensitive MRI sequences as fluid-filled collections ( Fig. 17 ).…”

Section: Extraosseous Neuronal Structures Mimicking Pathologiesmentioning

confidence: 99%

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The Great Mimickers of Spinal Pathology

Farshad‐Amacker

Sutter

2022

Semin Musculoskelet Radiol

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Back pain is one of the leading causes of health costs worldwide, particularly because of the further increased aging population. After clinical examination, spinal imaging is of utmost importance in many patients to reach the correct diagnosis. There are many imaging pitfalls and mimickers of spinal pathology on radiographs, magnetic resonance imaging, and computed tomography. These mimickers may lead to a misdiagnosis or a further imaging work-up if they are not recognized and thus lead to unnecessary examinations and increased health care costs. In this review we present the common mimickers of spinal pathology and describe normal variations when reading imaging studies of the spine.

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“…They can exist at any location in the spine, with the sacrum (4.6%) the most common location. 48 49 50…”

Section: Extraosseous Neuronal Structures Mimicking Pathologiesmentioning

confidence: 99%

Section: Extraosseous Neuronal Structures Mimicking Pathologiesmentioning

confidence: 99%

The Great Mimickers of Spinal Pathology

Farshad‐Amacker

Sutter

2022

Semin Musculoskelet Radiol

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“…Many treatment options are available for symptomatic Tarlov cyst treatment that was being described in the literature ranging from non-surgical, minimally invasive procedures (lumbar cerebrospinal fluid drainage and CT guided aspiration of the cyst) and surgical procedures (such as fenestration of cyst, shrinkage of the cyst by using cauterization technique, marsupialization, partial excision and oversewing of the cyst wall, and total excision of the cyst together with nerve root) (Medani et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Partial Cyst Resection, Fabrication, Imbrication and Duraplasty of Symptomatic Sacral Tarlov Cysts

Loong

Mohamad²,

Awang³

et al. 2022

BJMS

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Tarlov cysts are pathological cerebrospinal fluid-filled sacs located in the space between the perineum and endoneurium of the nerve roots. Symptomatic Tarlov cysts are extremely rare. There is no consensus regarding the optimal surgical treatment for it up to date. We encountered a recurrent symptomatic sacral Tarlov cyst of a patient whose symptoms resolved after undergoing partial cyst resection, fabrication, imbrication, and duraplasty of sacral Tarlov cysts. A 53-year-old man was initially presented with worsening lower back and buttock region pain, sensory changes involving S1 – S3 distribution of the left lower limb in 2014. The initial magnetic resonance imaging (MRI) lumbosacral had been carried out and revealed a perineural cyst at the level of S1 – S3. The patient did S1 – S3 laminectomy, fabrication, and imbrication after failed conservative treatment and his symptoms resolved for three years. However, similar symptoms recurred in 2017 and the repeated MRI revealed a recurrent well-defined multiloculated cystic structure was seen arising from the spinal canal of S1 – S3 level. The second time, the patient underwent laminectomy S1 – S3, partial cyst resection, fabrication, imbrication, and duraplasty of the sacral region. Many proposed surgical options are available for treating the symptomatic Tarlov cysts. There is no literature reviewed on the best surgical option for the recurrent symptomatic Tarlov cyst. We proposed sacral laminectomy, partial cyst resection, imbrication, fat graft packing, fabrication, and duraplasty in recurrent symptomatic sacral Tarlov cyst.

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“…Patients with symptomatic Tarlov cysts may present with back pain, sensory and/or motor radiculopathy, bladder, bowel and/or sexual dysfunction [ 3 ]. CT-guided aspiration and injection of fibrin sealant has been shown to be effective treatment options [ 4 ].…”

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confidence: 99%