Diagnosis and management of sacral Tarlov cysts

Update item information
Publication Type Journal Article
School or College School of Medicine
Department Neurosurgery
Creator Schmidt, Meic H.
Other Author Acosta, Frank L.; Quinones-Hinojosa, Alfredo; Weinstein, Philip R.
Title Diagnosis and management of sacral Tarlov cysts
Date 2003
Description Perineurial (Tarlov) cysts are meningeal dilations of the posterior spinal nerve root sheath that most often affect sacral roots and can cause a progressive painful radiculopathy. Tarlov cysts are most commonly diagnosed by lumbosacral magnetic resonance imaging and can often be demonstrated by computerized tomography myelography to communicate with the spinal subarachnoid space. The cyst can enlarge via a net inflow of cerebrospinal fluid, eventually causing symptoms by distorting, compressing, or stretching adjacent nerve roots. It is generally agreed that asymptomatic Tarlov cysts do not require treatment. When symptomatic, the potential surgery-related benefit and the specific surgical intervention remain controversial. The authors describe the clinical presentation, treatment, and results of surgical cyst fenestration, partial cyst wall resection, and myofascial flap repair and closure in a case of a symptomatic sacral Tarlov cyst. They review the medical literature, describe various theories on the origin and pathogenesis of Tarlov cysts, and assess alternative treatment strategies.
Type Text
Publisher American Association of Neurological Surgeons (AANS)
First Page 1
Last Page 7
Subject Tarlov cysts; Meningeal dilations; Spinal lesion; Outcome
Subject LCSH Perineurial cysts, Sacral; Perineurial cysts, Sacral -- Treatment
Language eng
Bibliographic Citation Acosta, F. L., Quinones-Hinojosa, A., Schmidt, M. H., & Weinstein, P. R. (2003). Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurgical Focus, 15(2), E15, 1-7.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 78,566 bytes
Identifier ir-main,12765
ARK ark:/87278/s6ws9btt
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2012-06-13
ID 706535
Reference URL https://collections.lib.utah.edu/ark:/87278/s6ws9btt