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J Neurol Surg A Cent Eur Neurosurg 2021; 82(05): 463-467
DOI: 10.1055/s-0040-1722194
Original Article

Spinal Perineural Cysts among European Patients

Piotr Kozłowski 
1   Radiation Oncology Department, Lublin Cancer Hospital of Saint John from Dukla, Lublin, Poland
,
Paweł Kalinowski
2   Independent Epidemiology Unit, Medical University of Lublin, Lublin, Lubelskie, Poland
,
Magdalena Kozłowska
3   Oncology Department, Medical University of Lublin, Lublin, Lubelskie, Poland
,
Małgorzata Jankiewicz
1   Radiation Oncology Department, Lublin Cancer Hospital of Saint John from Dukla, Lublin, Poland
,
Agnieszka Budny
1   Radiation Oncology Department, Lublin Cancer Hospital of Saint John from Dukla, Lublin, Poland
,
Elżbieta Starosławska
4   Oncology Department, Lublin Cancer Hospital of Saint John from Dukla, Lublin, Poland
,
Franciszek Burdan
5   Radiology Department, Lublin Cancer Hospital of Saint John from Dukla, Lublin, Poland
6   Humana Anatomy Department, Medical University of Lublin, Lublin, Lubelskie, Poland
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Abstract

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.

Keywords

perineural cyst - Tarlov's cyst - epidemiology - back pain - incidentally detected lesions


Publikationsverlauf

Eingereicht: 09. Februar 2020

Angenommen: 29. September 2020

Artikel online veröffentlicht:
01. April 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Tarlov IM. Spinal perineurial and meningeal cysts. J Neurol Neurosurg Psychiatry 1970; 33 (06) 833-843
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 6 Langdown AJ, Grundy JRB, Birch NC. The clinical relevance of Tarlov cysts low back pain. Varthritis Rheumat. 2012; 64 (06) 2028-2037
    PubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 8 Klekamp J. A new classification for pathologies of spinal meninges, part 1: dural cysts, dissections, and ectasias. Neurosurgery 2017; 81 (01) 29-44
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 10 Emary PC, Taylor JA. Sciatic neuralgia associated with a perineural (Tarlov) cyst. J Can Chiropract Assoc 2016; 60 (03) 263-265
    PubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 12 Baker M, Wilson M, Wallach S. Urogenital symptoms in women with Tarlov cysts. J Obstet Gynaecol Res 2018; 44 (09) 1817-1823
    CrossrefPubMedSuche in Google Scholar
  • 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
    PubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 15 Yang AI, McShane BJ, Welch WC. Growth of a sacral perineural (Tarlov) cyst: clinical images. World Neurosurg 2018; 119: 400-401
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    PubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar