Nikhil R Nayak Author
Subjects of specialization
Affiliation
Neurosurgery
Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Nikhil R Nayak 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»