Advances in the Diagnosis and Treatment of Sacral Cysts

Authors

  • Menghui Li
  • Jiancheng Liao
  • Liqun He
  • Dongyue Li
  • Maoying Zhang

DOI:

https://doi.org/10.54097/b3krzn29

Keywords:

Sacral Cyst, Etiology, Pathogenesis, Microsurgery, Treatment

Abstract

Sacral cysts have become a neurological disease that has received widespread attention in recent years. Its etiology and pathogenesis are still unclear, and it is more commonly believed to be the result of the interaction of multiple factors, which leads to clinical symptoms such as chronic low back pain and dysfunction of urinary and fecal functions. The disease is detected and diagnosed by magnetic resonance imaging, and treatment options include conservative treatment, interventional therapy, and surgical removal. However, there is no consensus on the diagnosis and treatment of sacral cysts, which has led to stagnation in the diagnosis and treatment of this disease. This article summarizes the definition, epidemiological characteristics, etiology and pathogenesis, diagnosis and treatment of this disease, in order to provide certain reference for clinical work.

Downloads

Download data is not yet available.

References

Acosta FL, Quinones-Hinojosa A,Schmidt MH, et al. Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurg Focus. 2003;15 (2): E15. doi:10.3171/foc.2003.15.2.15.

Almansa AH, Infante AMJ,Cutillas AMR, et al. Symptomatic sacral Tarlov cyst: Case report and review of literature. Neurocirugia (Astur: Engl Ed). 2023;34 (2):101-104. doi:10. 1016/ j.neucie.2022.11.021.

Kuhn FP, Hammoud S,Lefèvre-Colau MM, et al. Prevalence of simple and complex sacral perineural Tarlov cysts in a French cohort of adults and children. J Neuroradiol. 2017;44 (1):38-43. doi: 10.1016/j.neurad.2016.09.006.

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(2):293-299.

Hulens M, Bruyninckx F,Thal DR, et al. Large- and Small-Fiber Neuropathy in Patients with Tarlov Cysts. J Pain Res. 2022; 15:193-202. doi:10.2147/JPR.S342759.

Potts MB, McGrath MH,Chin CT, et al. Microsurgical Fenestration and Paraspinal Muscle Pedicle Flaps for the Treatment of Symptomatic Sacral Tarlov Cysts. World Neurosurg. 2016; 86:233-42. doi: 10.1016/j.wneu.2015.09.055.

Landers J, Seex K. Sacral perineural cysts: imaging and treatment options [J] . Br J Neurosurg,2002,16 (2) :182-185.

Mehan A, Ruchika F, Chaturvedi J, et al. Giant Tarlov Cyst presenting as pelvic mass: Often doing less is better. Surg Neurol Int. 2023; 14:95. doi:10.25259/SNI_79_2023.

Lantz JM, Yamada KA,Hah RJ. Tarlov Cysts in a Woman With Lumbar Pain. J Orthop Sports Phys Ther. 2018;48 (2):121. doi: 10.2519/jospt.2018.7644.

Sun P, Xu W, Ye Y, et al. Neglected Tarlov cysts: a case of a Tarlov cyst with spermatorrhea. Eur J Med Res. 2021;26 (1):44. doi:10.1186/s40001-021-00514-w.

Hentzen C, Cabrilo I, Malladi P, et al. Sacral Tarlov cysts: Neurophysiology abnormalities and correlation with pelvic sensory and visceral symptoms. Eur J Neurol. 2023;30 (9): 2838-2848. doi:10.1111/ene.15869.

Acosta FL, Quinones-Hinojosa A, Schmidt MH, et al. Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurg Focus. 2003;15 (2): E15. doi:10.3171/foc.2003.15.2.15.

Sun Jl, Wang ZY, Liu B, et al. Neck transfixion for sacral extradural spinal meningeal cystswithout spinal nerve root fibers. Eur Spine J 2014, doi: 10 1007/s00586-014-3471-z.

Langdown Al, Grundy JR, Birch NC. The clinical relevance of Tarlov cysts [J]. Journal ofspinal disorders & techniques,2005, 18 (1):29-33.

Mitra R, Kirpalani D, Wedemeyer M. Conservative management of perineural cysts[1]. Spine2008.33(16): E565-E568.

Singh N, Cowie R, Pal P, et al. Neuroglial cyst of the sacral canal. Case report1. J Neurosurg Spine,2011,14(1):88-92.

Joshi N, Hernandez Martinez A, Seijas-Vazquez R. Primary sacralhydatid cyst. A case report [l. Acta orthopaedica Belgica, 2007, 73(5):674-677.

Jiang W, Hu Z, Hao J. Management of Symptomatic Tarlov Cysts: A Retrospective Observational Study. Pain Physician. 2017;20 (5): E653-E660.

CantoreG, BistazzoniS, EspositoV, etal. Sacral Tarloy Cyst: Surgical Treatment Clipping [1l. World Neurosurg ,2013,79(2): 381-389.

Zheng X, Li S, Sheng H, et al. Balloon-Assisted Fistula Sealing Procedure for Symptomatic Tarlov Cysts. World Neurosurg. 2016; 88:70-75. doi:10.1016/j.wneu.2016.01.016.

Medani K, Lawandy S, Schrot R, et al. Surgical management of symptomatic Tarlov cysts: cyst fenestration and nerve root imbrication-a single institutional experience. J Spine Surg. 2019;5 (4):496-503. doi:10.21037/jss.2019.11.11.

Paredes Mogica JA, Feigenbaum F, Pilitsis JG, et al. Sacral Tarlov perineurial cysts: a systematic review of treatment options. J Neurosurg Spine. 2023;:1-14. doi:10.3171/2023.9. SPINE23559.

Burke JF, Thawani JP, Berger I, et al. Microsurgical treatment of sacral perineural (Tarlov) cysts: case series and review of the literature. J Neurosurg Spine. 2016;24 (5):700-7. doi:10. 3171/ 2015. 9.SPINE153.

Downloads

Published

29-03-2024

Issue

Section

Articles

How to Cite

Li, M., Liao, J., He, L., Li, D., & Zhang, M. (2024). Advances in the Diagnosis and Treatment of Sacral Cysts. International Journal of Biology and Life Sciences, 5(2), 10-12. https://doi.org/10.54097/b3krzn29