Hovik John Ashchyan Author
Subjects of specialization
Affiliation
Neurosurgery
Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Hovik John Ashchyan received his specialty in neurosurgery from the Department of Neurosurgery, at the Hospital and the University of Pennsylvania, Philadelphia, USA. He is also intrested in other feilds like Tantalum; Trabecular Metal implant; Spinal fusion; Magnetic resonance imaging; Computed tomography
Case Report Subscription
Author(s): Jayesh P Thawani, Hovik John Ashchyan, John Pierce, Nikhil R Nayak, John F Burke, Suhail K Kanchwala and William C Welch
Microsurgical Treatment of a Complex Sacral Perineural Cyst Using Paraspinous Muscle Flap: Technical Note
Dr. I.M. Tarlov first described perineural (Tarlov) cysts in 1938. Symptomatic Tarlov cysts are common incidental findings yet uncommon clinical/pathologic entities. Microsurgical treatment of Tarlov cysts is even more rare. We report the microsurgical treatment of a symptomatic complex Tarlov cyst as a case. The patient presented with sacral pain, bilateral sciatica (S1-type), urinary retention, rectal pain with intercourse, gluteal heaviness, and intermittent burning in the S2-4 dermatome. MR imaging revealed a complex sacral Tarlov cyst with bony erosion. The patient was treated microsurgic... view moreĀ»