4.5 Article

Sacral Tarlov Cyst: Surgical Treatment by Clipping

Journal

WORLD NEUROSURGERY
Volume 79, Issue 2, Pages 381-389

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.wneu.2012.06.015

Keywords

CSF leak; Meningeal perineural cyst; Tarlov cyst; Urinary impairment

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BACKGROUND: This study reports the anatomopathological classification of Tarlov cysts and the various treatment techniques described in the literature. METHODS: The authors present their patient series (19 cases) with a long follow-up (range 9 months to 25 years) treated by cyst remodeling around the root using titanium clips. RESULTS: The technique is effective in both avoiding cerebrospinal fluid leakage and resolving bladder dysfunction when urinary symptoms are incomplete and discontinuous. CONCLUSIONS: The clipping technique for Tarlov cysts is easy, valid, safe, rapid, and effective.

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