The Korean Journal of Pain

  • 제25권3호
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  • Pages.191-194
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  • 2012
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Clinical Experience of Symptomatic Sacral Perineural Cyst

  • Jung, Ki-Tae (Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University) ;
  • Lee, Hyun-Young (Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University) ;
  • Lim, Kyung-Joon (Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University)
  • 투고 : 2012.04.16
  • 심사 : 2012.05.31
  • 발행 : 2012.07.01
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초록

Tarlov or perineural cysts are nerve root cysts found most commonly at the sacral spine level arising between covering layers of the perineurium and the endoneurium near the dorsal root ganglion and are usually asymptomatic. Symptomatic sacral perineural cysts are uncommon but sometimes require surgical treatment. A 69-year-old male presented with pain in the buttock. He was diagnosed as having a sacral cyst with magnetic resonance imaging. For the nonoperative diagnosis and treatment, caudal peridurography and block were performed. After the treatment, the patient's symptom was relieved. We suggest a caudal peridural block is effective in relieving pain from a sacral cyst.

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참고문헌

  1. Tarlov IM. Perineural cysts of the spinal nerve roots. Arch Neurol Psychiatry 1938; 40: 1067-74. https://doi.org/10.1001/archneurpsyc.1938.02270120017001
  2. Langdown AJ, Grundy JR, Birch NC. The clinical relevance of Tarlov cysts. J Spinal Disord Tech 2005; 18: 29-33. https://doi.org/10.1097/01.bsd.0000133495.78245.71
  3. Voyadzis JM, Bhargava P, Henderson FC. Tarlov cysts: a study of 10 cases with review of the literature. J Neurosurg 2001; 95: 25-32.
  4. Mitra R, Kirpalani D, Wedemeyer M. Conservative management of perineural cysts. Spine (Phila Pa 1976) 2008; 33: E565-8. https://doi.org/10.1097/BRS.0b013e31817e2cc9
  5. Kang MS, Lim YJ, Lee SC. Sacral meningeal cyst detected during caudal epidural block. J Korean Pain Soc 1999; 12: 258-62.
  6. Shao Z, Wang B, Wu Y, Zhang Z, Wu Q, Yang S. CT-guided percutaneous injection of fibrin glue for the therapy of symptomatic arachnoid cysts. Am J Neuroradiol 2011; 32: 1469-73. https://doi.org/10.3174/ajnr.A2595
  7. Zhang T, Li Z, Gong W, Sun B, Liu S, Zhang K, et al. Percutaneous fibrin glue therapy for meningeal cysts of the sacral spine with or without aspiration of the cerebrospinal fluid. J Neurosurg Spine 2007; 7: 145-50. https://doi.org/10.3171/SPI-07/08/145
  8. Ju CI, Shin H, Kim SW, Kim HS. Sacral perineural cyst accompanying disc herniation. J Korean Neurosurg Soc 2009; 45: 185-7. https://doi.org/10.3340/jkns.2009.45.3.185
  9. Mummaneni PV, Pitts LH, McCormack BM, Corroo JM, Weinstein PR. Microsurgical treatment of symptomatic sacral Tarlov cysts. Neurosurgery 2000; 47: 74-8.
  10. Park HJ, Kim IS, Lee SW, Son BC. Two cases of symptomatic perineural cysts (tarlov cysts) in one family: a case report. J Korean Neurosurg Soc 2008; 44: 174-7. https://doi.org/10.3340/jkns.2008.44.3.174
  11. Lucantoni C, Than KD, Wang AC, Valdivia-Valdivia JM, Maher CO, La Marca F, et al. Tarlov cysts: a controversial lesion of the sacral spine. Neurosurg Focus 2011; 31: E14.
  12. Matsumoto H, Matsumoto S, Miki T, Miyaji Y, Minami H, Masuda A, et al. Surgical treatment of sacral perineural cyst-case report. Neurol Med Chir (Tokyo) 2011; 51: 867-71. https://doi.org/10.2176/nmc.51.867

피인용 문헌

  1. Rare Clinical Presentations of Perineural Cysts Besides Radicular Pain vol.25, pp.4, 2012, https://doi.org/10.3344/kjp.2012.25.4.283
  2. Reconstruction of nerve root sheaths for sacral extradural spinal meningeal cysts with spinal nerve root fibers vol.56, pp.11, 2013, https://doi.org/10.1007/s11427-013-4536-7
  3. Incidence of Spinal Perineurial (Tarlov) Cysts among East-European Patients vol.8, pp.8, 2013, https://doi.org/10.1371/journal.pone.0071514
  4. Neck transfixion for sacral extradural spinal meningeal cysts without spinal nerve root fibers vol.25, pp.6, 2016, https://doi.org/10.1007/s00586-014-3471-z
  5. Treatment of a symptomatic cervical perineural cyst with ultrasound-guided cervical selective nerve root block vol.97, pp.37, 2018, https://doi.org/10.1097/MD.0000000000012412
  6. Depressive symptomatology in a female patient with Tarlov cyst vol.7, pp.None, 2019, https://doi.org/10.1177/2050313x19844693