Two Cases of Symptomatic Perineural Cysts (Tarlov Cysts) in One Family - A Case Report

  • Park, Hyun-Jun (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Il-Sup (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Sang-Won (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Son, Byung-Chul (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine)
  • Published : 2008.09.28

Abstract

Symptomatic sacral perineural cysts are uncommon. Several hypotheses have been proposed to explain the etiologies of perineural cysts, but the accurate etiologies remain unclear. We experienced two cases of symptomatic sacral perineural cysts (Tarlov cysts) in one family, who presented with perianal paresthesia. Both of them were operated and postoperatively their symptoms were disappeared immediately. We experienced the excellent treatment outcome with the surgical management of symptomatic perineural cysts in the sacral region. We assume that the theory of congenital origin including a familial tendency is the most plausible of the hypotheses that have been proposed.

Keywords

References

  1. Acosta FL Jr, Quinines-Hinojosa A, Schmidt MH, Weinstein PR : Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurg Focus 15 : E15, 2003
  2. Choi YG, Park CK, Choi SJ, Park CK, Lee SW, Kang JK, et al : Symptomatic Intrasacral Extradural Cyst :"Occult Sacral Meningocele" and "Tarlov's Cyst". J Korean Neurosurg Soc 24 : 26-32, 1995
  3. Guo D, Shu K, Chen R, Ke C, Zhu Y, Lei T : Microsurgical treatment of symptomatic sacral perineural cysts. Neurosurgery 60 : 1059-1065; discussion 1065-1066, 2007
  4. Kim KW, Doh JW, Bae HG, Lee KS, Yoon IG, Choi SK, et al : Sacral Perineural Cyst\pounds\intAnother Cause of Sciatica. Case Report. J Korean Neurosurg Soc 28 : 1644-1648, 1999
  5. Langdown AJ, Grundy JR, Birch NC : The clinical relevance of Tarlov cysts. J Spinal Disorder Tech 18 : 29-33, 2005 https://doi.org/10.1097/01.bsd.0000133495.78245.71
  6. Lee JS, Park YW, Kown IS, Ryu YS, Hong SK, Moon MS : Sacral Spinal Meningeal Cyst (Perineurial Cyst). Case Report. J Korean Neurosurg Soc 18 : 634-638, 1989
  7. Lim KT, Cho BM, Shin DI, Park SH, Oh SM : Symptomatic Tarlov's Cyst (Sacral Meningeal Cyst). Case Report. J Korean Neurosurg Soc 29 : 569-573, 2000
  8. Lombardi G, Morello G : Congenital cysts of the spinal membranes and roots. Br J Radiol 36 : 197-205, 1963 https://doi.org/10.1259/0007-1285-36-423-197
  9. Mummaneni PV, Pitts LH, McCormack BM, Corroo JM, Weinstein PR : Microsurgical treatment of symptomatic Tarlov cysts. Neurosurgery 47 : 74-78; discussion 78-79, 2000 https://doi.org/10.1097/00006123-200007000-00016
  10. Nabors MW, Pait TG, Byrd EB, Karim NO, Davis DO, Kobrine AI, et al : Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 68 : 366-377, 1988 https://doi.org/10.3171/jns.1988.68.3.0366
  11. Paulsen RD, Call GA, Murtagh FR : Prevalence and percutaneous drainage of cysts of the sacral nerve root sheath (Tarlov cysts). AJNR Am J Neuroradiol 15 : 293-297; discussion 298-299, 1994
  12. Rexed BA, Wennstrom KG : Arachnoidal proliferations and cystic formation in the spinal nerve-root pouches of man. J Neurosurg 16 : 73-84, 1959 https://doi.org/10.3171/jns.1959.16.1.0073
  13. Tanaka M, Nakahara S, Ito Y, Nakanishi K, Sugimoto Y, Ikauma H, et al : Surgical results of sacral perineural (Tarlov) cysts. Acta Med Okayama 60 : 65-70, 2006
  14. Tarlov IM : Cysts of the sacral nerve roots; clinical significance and pathogenesis. AMA Arch Neurol Psychiatry 68 : 94-108,1952 https://doi.org/10.1001/archneurpsyc.1952.02320190100010
  15. Tarlov IM : Perineural cyst of the spinal nerve roots. AMA Arch Neurol Psychiatry 40 : 1067-1074, 1938 https://doi.org/10.1001/archneurpsyc.1938.02270120017001
  16. Voyadzis JM, Bhargava P, Henderson FC : Tarlov cysts : A study of 10 cases with review of the literature. J Neurosurg 95 (1 Suppl) : 25-32, 2001