Pudendal neuralgia caused by a sacral perineural Tarlov cyst: illustrative case.
Pudendal neuralgia is one of the clinically poorly understood disease groups. The authors report a rare case of pudendal neuralgia caused by a sacral Tarlov cyst. A 52-year-old woman was referred to the authors' clinic with perineal pain that had been occurring for the past 6 months and worsened whe…
Dural defect in Tarlov cyst instead of cerebrospinal fluid-venous fistula as the cause of spontaneous intracranial hypotension: illustrative case.
Spontaneous intracranial hypotension results from CSF loss due to a dural defect or meningeal diverticulum. Precise localization of the leak is challenging, especially when multiple levels present abnormalities. A 58-year-old woman presented with progressive orthostatic headache, with no history of…
A Validation of the Tarlov Cyst Quality-of-Life Scale in Patients Surgically Treated for Intrasacral Meningoceles.
Intrasacral meningoceles (IM) are a type of spinal meningeal cyst that can develop within the sacral spinal canal and cause sacral radiculopathy symptoms. The research on IM is sparse, comprised largely of case reviews lacking standardization with validated measures. However, a disease-specific heal…
Presacral meningocele presenting after rupture into the retroperitoneal space with acute debilitating intracranial hypotension: illustrative case.
Presacral meningoceles are rare congenital cystic lesions caused by herniation of the thecal sac through an anterior sacral defect. Presentations range from asymptomatic to rupture and meningitis. Treatment aims to eliminate subarachnoid communication, recurrence, and complications. The authors repo…
The association between ejaculatory dysfunction and lumbosacral disorders: a systematic review of an underrecognized clinical link.
Lumbosacral disorders commonly cause neurological symptoms such as low back pain and radiculopathy, their contribution to ejaculatory dysfunction (EjD) remains underrecognized. To summarize neuroanatomical and neurophysiological mechanisms linking the lumbosacral spine to ejaculation, synthesize cli…
Microsurgical reinforced radiculoplasty for symptomatic sacral Tarlov cysts in children: a retrospective study assessing safety and efficacy.
Symptomatic sacral Tarlov cysts are rare in the pediatric population. Traditional surgical methods are associated with high recurrence rates and risks of neurological injury. Microsurgical reinforced radiculoplasty (MRR), which focuses on reconstructing the nerve root sleeve to obliterate the cerebr…
Tarlov Cyst with Pelvic Extension Mimicking an Adnexal Mass: A Case Report.
Pelvic extension of sacral Tarlov cysts can closely resemble adnexal masses on ultrasound. When cystic pelvic lesions coexist with radicular pain or sitting intolerance, MRI is mandatory prior to gynecologic surgery. Conservative treatment is preferred unless neurological deterioration occurs.
When to refer patients with sacral Tarlov cysts: a practical framework for identifying likely symptomatic cysts.
Tarlov cysts are frequently identified during magnetic resonance imaging of the lumbosacral spine, although the majority carry no clinical relevance. A smaller but important subgroup causes symptoms through deformation or irritation of the sacral nerve roots. These patients often experience prolonge…