Clinical findings of Tarlov cyst according to its location and level in lumbosacral spine on magnetic resonance imaging
DOI:
https://doi.org/10.61919/jhrr.v3i2.53Keywords:
Tarlov Cyst, Sacrum, Perineural Cyst, Magnetic Resonance ImagingAbstract
Background: Tarlov cysts are fluid filled cysts that are most found in the lumbosacral spine. Patients often present with a series of distinguished neurological deficits that correlate with the mass effects of cyst provided on the level and location of the lumbosacral spine.
Objective: To determine the clinical findings of Tarlov Cyst associated with its level and location magnetic resonance imaging
Methods: A total of 60 patients with different sets of neurological deficits were included in this descriptive cross-sectional study conducted in Ghurki Trust and Teaching hospital. Data was collected by using Questionnaire/Performa. An MRI procedure was used to assess the Tarlov cysts. A Convenient sampling technique was used in this study. Data was evaluated and analysed with SPSS v-25 and Microsoft excel.
Results: Out of 60 patients, there were 40 females (66.67 %) and around 20 males (33.3%). The most common neurological deficits that was found in patients were numbness seen in 50 patients, loss of reflexes seen in 40 patients, mass effects in the affected region were seen in 20 patients and changes in the bowel function was seen in 10 patients. The most common location of Tarlov cysts found in patients was sacral region 28(46.7%), lumbosacral region 24(40%) and lumbar region 8(13.3%).
Conclusion: The study concluded that the frequency of female was more than male. And the most common site of Tarlov cyst was found to be at LV4-LV5 and LV5-level S1 exhibiting different clinical manifestation.
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Fletcher-Sandersjöö A, Mirza S, Burström G, Pedersen K, Kuntze Söderqvist Å, Grane P, et al. Management of perineural (Tarlov) cysts: a population-based cohort study and algorithm for the selection of surgical candidates. Acta neurochirurgica. 2019;161:1909-15.
Jain M, Sahu NK, Naik S, Bag ND. Symptomatic Tarlov cyst in cervical spine. BMJ case reports. 2018;11(1).
Kozłowski P, Kalinowski P, Jankiewicz M, Kozłowska M, Bilski M, Budny A, et al. [Perineural cysts]. Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego. 2018;45(269):201-4.
Dayment BAJ, Ingham Clark OD. Letter to the Editor. Surgical and percutaneous methods for the treatment of Tarlov cysts. Journal of neurosurgery Spine. 2019;32(2):332-3.
Dayyani M, Zabihyan S. Giant Tarlov Cyst of Infancy. World Neurosurg. 2019;123:348-50.
Fletcher-Sandersjöö A, Mirza S, Burström G, Pedersen K, Kuntze Söderqvist Å, Grane P, et al. Management of perineural (Tarlov) cysts: a population-based cohort study and algorithm for the selection of surgical candidates. Acta Neurochir (Wien). 2019;161(9):1909-15.
Hulens M, Dankaerts W, Rasschaert R, Bruyninckx F, Stalmans I, Vansant G, et al. Hydrocephalus associated with multiple Tarlov cysts. Medical hypotheses. 2019;130:109293.
Hulens M, Rasschaert R, Bruyninckx F, Dankaerts W, Stalmans I, De Mulder P, et al. Symptomatic Tarlov cysts are often overlooked: ten reasons why-a narrative review. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2019;28(10):2237-48.
Mijalcic MR, Djurovic B, Cvrkota I, Jokovic M, Bascarevic V, Micovic M. Tarlov cyst-a rare lesion in children: case report. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 2019;35(4):701-5.
D'Urso PI. Letter: Growth of Lumbosacral Perineural (Tarlov) Cysts: A Natural History Analysis. Neurosurgery. 2020;86(6):E589.
Lim VM, Khanna R, Kalinkin O, Castellanos ME, Hibner M. Evaluating the discordant relationship between Tarlov cysts and symptoms of pudendal neuralgia. American journal of obstetrics and gynecology. 2020;222(1):70.e1-.e6.
Mensah-Brown KG, Yang AI, Welch WC. In Reply: Growth of Lumbosacral Perineural (Tarlov) Cysts: A Natural History Analysis. Neurosurgery. 2020;86(6):E590.
Hentzen C, Cabrilo I, Malladi P, Simeoni S, Amarenco G, Zaidman N, et al. Sacral Tarlov cysts: Neurophysiology abnormalities and correlation with pelvic sensory and visceral symptoms. European journal of neurology. 2023;30(9):2838-48.
Poyuran R, Kalaparti V, Thomas B, Kesavapisharady K, Narasimhaiah D. Nonneoplastic and noninfective cysts of the central nervous system: A histopathological study. Neuropathology : official journal of the Japanese Society of Neuropathology. 2023;43(3):221-32.
Sharma M, Boakye M. Letter to editor regarding "Management of perineural (Tarlov) cysts: a population-based cohort study and algorithm for the selection of surgical candidates". Acta Neurochir (Wien). 2020;162(1):129-30.
Yucesoy K, Yilmaz M, Kaptan H, Ikizoglu E, Arslan M, Erbayraktar SR. A novel surgical technique for treatment of symptomatic Tarlov cysts. British journal of neurosurgery. 2023;37(2):188-92.
Wu C, Liu B, Xie JC, Wang ZY, Ma CC, Yang J, et al. [Reinforced radiculoplasty for the treatment of symptomatic sacral Tarlov cysts: A clinical analysis of 71 cases]. Beijing da xue xue bao Yi xue ban = Journal of Peking University Health sciences. 2023;55(1):133-8.
Yang AI, Rinehart CD, McShane BJ, Hitti FL, Welch WC. Growth of Lumbosacral Perineural (Tarlov) Cysts: A Natural History Analysis. Neurosurgery. 2020;86(1):88-92.
Chen Z, Lin C. Tarlov cyst with self-healing cauda equina syndrome following combined spinal-epidural anesthesia: a case report. BMC anesthesiology. 2023;23(1):352.
Zhu H, Shen L, Chen Z, Yang M, Zheng X. Giant Tarlov Cysts with Rare Pelvic Extension: Report of 3 Cases and Literature Review. World Neurosurg. 2020;139:505-11.
Almansa AH, Infante AMJ, Cutillas AMR, Álvarez LG. Symptomatic sacral Tarlov cyst: Case report and review of literature. Neurocirugia (English Edition). 2023;34(2):101-4.
Kozłowski P, Kalinowski P, Kozłowska M, Jankiewicz M, Budny A, Starosławska E, et al. Spinal Perineural Cysts among European Patients. Journal of neurological surgery Part A, Central European neurosurgery. 2021;82(5):463-7.
Shoyab M. Tarlov cysts in back pain patients: prevalence, measurement method and reporting points. The British journal of radiology. 2021;94(1127):20210505.
Porche K, Hoh DJ. Editorial. Microsurgical treatment of sacral Tarlov cysts. Journal of neurosurgery Spine. 2022;37(6):902-3.
Wang Z, Jian F, Chen Z, Wu H, Wang X, Duan W, et al. Percutaneous Spinal Endoscopic Treatment of Symptomatic Sacral Tarlov Cysts. World Neurosurg. 2022;158:e598-e604.
Sun P, Xu W, Ye Y, Zhong F, Wan X, Li Y. Neglected Tarlov cysts: a case of a Tarlov cyst with spermatorrhea. Eur J Med Res. 2021;26(1):44.
Ma Q, Xie J, Yang C, Wu C, Zhang J, Yin X, et al. Multiple dimensions of radiographic reconstruction for the optimal operative strategy of sacral meningeal cysts. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2022;31(11):3146-58.
Berlin E, Khan S, Sullivan W, Schneider B, Walker J. Giant Tarlov Cyst and the Importance of Advanced Imaging Before Interventional Spine Injections. American journal of physical medicine & rehabilitation. 2022;101(3):e46-e7.
Feigenbaum F, Parks SE, Chapple KM. Prospective Validation of a Quality-of-Life Measure for Women Undergoing Surgical Intervention for Symptomatic Sacral Tarlov Cysts: The Tarlov Cyst Quality of Life Scale. World Neurosurg. 2022;165:e276-e81.
Huang Q, Li J, Zhou Q, Li H, Yang X, Peng L, et al. Management of Symptomatic Sacral Perineural Cysts: A New Surgical Method. World Neurosurg. 2022;167:e978-e89.
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Copyright (c) 2023 Furozan Baig, Qurat Ul Ain , Arooj Fatimah , Amtullah Ansari , Ushna Qadeer, Aqsa Mansoor
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