Journal of Spine & NeurosurgeryISSN: 2325-9701

Case Report, J Spine Neurosurg Vol: 4 Issue: 2

Microsurgical Treatment of a Complex Sacral Perineural Cyst Using Paraspinous Muscle Flap: Technical Note

Jayesh P Thawani*, Hovik John Ashchyan, John Pierce, Nikhil R Nayak, John F Burke, Suhail K Kanchwala and William C Welch
Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Corresponding author : Jayesh P Thawani
MD, Penn Neurosurgery, University of Pennsylvania, Pennsylvania Hospital, 235 S. 8th Street, Philadelphia, PA, USA 19106
Tel: (800) 789-7366
E-mail: [email protected]
Received: December 24, 2014 Accepted: February 03, 2015 Published: February 02, 2015
Citation: Thawani JP, Ashchyan HJ, Pierce J, Nayak NR, Burke JF (2015) Microsurgical Treatment of a Complex Sacral Perineural Cyst Using Paraspinous Muscle Flap: Technical Note. J Spine Neurosurg 4:2 doi:10.4172/2325-9701.1000182

Abstract

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 microsurgically and had a paraspinous muscle flap advancement procedure performed in conjunction with Plastic Surgery. The patient experienced a positive clinical outcome.

Keywords: Tarlov cyst; Perineural cyst

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