Spinal Perineural Cysts among European Patients
Background A perineural (Tarlov) cyst is a fluid-filled lesion occurring between the perineurium and the endoneurium of spinal nerve roots. The aim of the study was to evaluate the prevalence and morphology of perineural cysts, detected incidentally in patients with symptomatic degenerative disk disease.
Materials/methods The study was based on the retrospective data gathered during magnetic resonance imaging (MRI) examinations.
Results and Conclusions Out of 3,128 spinal MRI examinations, perineural cysts were detected in 286 patients (9%). The cysts were most commonly observed in the sacral region, followed by thoracic, cervical, and lumbar regions. Cysts were more common in women than in men and the average age of patients was 54.8 years. In the majority, a single cyst was found. The average longest dimension of the lesion was 11.72 mm.
Eingereicht: 09. Februar 2020
Angenommen: 29. September 2020
Artikel online veröffentlicht:
01. April 2021
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- 1 Tarlov IM. Spinal perineurial and meningeal cysts. J Neurol Neurosurg Psychiatry 1970; 33 (06) 833-843
- 2 Burdan F, Mocarska A, Janczarek M. et al. Incidence of spinal perineurial (Tarlov) cysts among East-European patients. PLoS One 2013; 8 (08) e71514
- 3 Joo J, Kim J, Lee J. The prevalence of anatomical variations that can cause inadvertent dural puncture when performing caudal block in Koreans: a study using magnetic resonance imaging. Anaesthesia 2010; 65 (01) 23-26
- 4 Kanna RM, Kamal Y, Mahesh A, Venugopal P, Shetty AP, Rajasekaran S. The impact of routine whole spine MRI screening in the evaluation of spinal degenerative diseases. Eur Spine J 2017; 26 (08) 1993-1998
- 5 Kuhn FP, Hammoud S, Lefèvre-Colau MM, Poiraudeau S, Feydy A. Prevalence of simple and complex sacral perineural Tarlov cysts in a French cohort of adults and children. J Neuroradiol 2017; 44 (01) 38-43
- 6 Langdown AJ, Grundy JRB, Birch NC. The clinical relevance of Tarlov cysts low back pain. Varthritis Rheumat. 2012; 64 (06) 2028-2037
- 7 Konar SK, Bir SC, Maiti TK, Bollam P, Nanda A. Isadore Max Tarlov (1905-1977) and the controversial Tarlov cyst: historical perspective. J Neurosurg Spine 2016; 24 (03) 510-513
- 8 Klekamp J. A new classification for pathologies of spinal meninges, part 1: dural cysts, dissections, and ectasias. Neurosurgery 2017; 81 (01) 29-44
- 9 Elsawaf A, Awad TE, Fesal SS. Surgical excision of symptomatic sacral perineurial Tarlov cyst: case series and review of the literature. Eur Spine J 2016; 25 (11) 3385-3392
- 10 Emary PC, Taylor JA. Sciatic neuralgia associated with a perineural (Tarlov) cyst. J Can Chiropract Assoc 2016; 60 (03) 263-265
- 11 Kim K, Chun SW, Chung SG. A case of symptomatic cervical perineural (Tarlov) cyst: clinical manifestation and management. Skeletal Radiol 2012; 41 (01) 97-101
- 12 Baker M, Wilson M, Wallach S. Urogenital symptoms in women with Tarlov cysts. J Obstet Gynaecol Res 2018; 44 (09) 1817-1823
- 13 Aljuboori Z, Yaseen A, Simpson J, Boakye M. Surgical excision of a symptomatic thoracic nerve root perineural cyst resulting in complete resolution of symptoms: a case report. Cureus 2017; 9 (06) e1343
- 14 Iwamuro H, Yanagawa T, Takamizawa S, Taniguchi M. Atypical findings of perineural cysts on postmyelographic computed tomography: a case report of intermittent intercostal neuralgia caused by thoracic perineural cysts. BMC Med Imaging 2017; 17 (01) 37
- 15 Yang AI, McShane BJ, Welch WC. Growth of a sacral perineural (Tarlov) cyst: clinical images. World Neurosurg 2018; 119: 400-401
- 16 Park HJ, Jeon YH, Rho MH. et al. Incidental findings of the lumbar spine at MRI during herniated intervertebral disk disease evaluation. AJR Am J Roentgenol 2011; 196 (05) 1151-1155
- 17 Paulsen RD, Call GA, Murtagh FR. Prevalence and percutaneous drainage of cysts of the sacral nerve root sheath (Tarlov cysts). AJNR Am J Neuroradiol 1994; 15 (02) 293-297 , discussion 298–299
- 18 Wang B, Pu F, Wu Q, Zhang Z, Shao Z. Presacral tarlov cyst as an unusual cause of abdominal pain: new case and literature review. World Neurosurg 2018; 110: 79-84
- 19 Murphy K, Wyse G, Schnupp S. et al. Two-needle technique for the treatment of symptomatic Tarlov cysts. J Vasc Interv Radiol 2008; 19 (05) 771-773