International Journal of Biomedicine. 2019;9(1):66-68.
Originally published March 15, 2019
Tarlov cysts (TCs) are a rare but intensive cause of chronic low back pain or lumbosacral radiculopathy and should be considered in the differential diagnosis of radicular symptoms. Magnetic resonance imaging (MRI) is the radiologic study of choice to visualize these cysts. In the current study, we describe a case of a 49-year-old patient with intermittent pain on his coccigeal region, right buttock, and intensive pain in the right hip and inner side of the thigh, in 1.5 years of duration. MRI of the lumbosacral spine and hip showed right-sided, sacral S2 and S3 perineural cysts, the largest located at the right S2 nerve root. Conservative treatment of sacral perineurial cysts should be the first choice. The surgical treatment is recomended in cases when MRI scans reveal a large (1.5 cm) cyst associated with neurological symptoms and no response on conservative treatment.
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Received February 2, 2019.
Accepted March 11, 2019.
©2019 International Medical Research and Development Corporation.