Giant Tarlov cysts are described as fluid-filled sacs located in the spine. They are mostly found in the sacral region, but are usually asymptomatic. The symptomatic Tarlov cysts are planned for surgical treatment in the form of laminectomy and marsupilisation of cysts. These surgical procedures can have complications like cerebrospinal fluid (CSF) leak, bacterial meningitis, and radiculopathic pain. We report a case of a 30-year-old male who presented with complaints of pain in his left leg for one and half years, urinary incontinence off and on for six months, and scrotal pain for two months. He was diagnosed with two giant Tarlov cysts on contrast-enhanced magnetic resonance imaging and planned for surgery. Intraoperatively, approximately 1000 ml of CSF was drained. The patient complained of severe headache in the immediate postoperative period, which was confirmed to be a low-CSF pressure headache. Prompt diagnosis and management with collaborative teamwork of neuroanesthetists and neurosurgeons helped treat the patient and prevent long-term morbidity.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9389141 | PMC |
http://dx.doi.org/10.7759/cureus.27045 | DOI Listing |
Eur J Neurol
January 2025
Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, London, UK.
Cureus
October 2024
Anesthesiology, Unidade Local de Saúde de Braga, Braga, PRT.
Pan Afr Med J
September 2024
Department of Anesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi, India.
Cureus
August 2024
Radiology, Gazi University Faculty of Medicine, Ankara, TUR.
Tarlov cysts are formed by ectasia of the perineural spaces around the spinal nerve roots in or distal to the dorsal root ganglion. The cerebrospinal fluid constitutes the cerebrospinal fluid content. Pathogenesis and clinical findings remain unclear.
View Article and Find Full Text PDFEur Spine J
November 2024
Department of Neurosurgery, Faculty of Medicine, Istanbul Brain and Spine Center, Okan University, Istanbul, Turkey.
Background And Importance: Giant Tarlov cysts (GTCs) are perineural cysts and their presacral intrapelvic extension are extremely rare entities. We present a case of GTC with intrapelvic extension who has preoperative Magnetic Resonance Imaging (MRI) follow-ups of 12 years, and we demonstrate the annual growth rate and the time-size correlation of a GTC.
Methods: Case report.
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