Surgical treatment of sacral perineural cysts. A case report

• Published in: Kobe journal of the medical sciences Vol. 45; no. 6; p. 245
• Main Authors: Yücesoy, K, Naderi, S, Ozer, H, Arda, M N
• Format: Journal Article
• Language: English
• Published: Japan 01-12-1999
• Subjects: Female; Follow-Up Studies; Humans; Laminectomy - methods; Lumbar Vertebrae - diagnostic imaging; Lumbar Vertebrae - pathology; Magnetic Resonance Imaging; Middle Aged; Pain Measurement; Sacrum - diagnostic imaging; Sacrum - pathology; Spinal Nerves - pathology; Spinal Nerves - surgery; Tarlov Cysts - diagnosis; Tarlov Cysts - surgery; Tomography, X-Ray Computed
• ISSN: 0023-2513

Most of the perineural cysts (Tarlov's cysts) are asymptomatic. They are usually diagnosed incidentally, and a specific treatment is not necessary. They should be operated on, only if they produce progressive or disabling symptoms and/or sign clearly attributable to them. Several reports have been made regarding their sign and symptom, neurological and radiological features. This is a report emphasizing on their surgical indication and surgical treatment. We reported a 48 year-old woman who underwent surgery because of the symptomatic perineural cyst. It is concluded that the total excision of the perineural cyst is not necessary and a partial resection with a resultant reduction in the cyst size results in a favourable outcome.