Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Microsurgical Excision of Symptomatic Sacral Perineurial Cyst with Sacral Recapping Laminectomy : A Case Report in Technical Aspects

  • Seo, Dae-Hyun (Department of Neurosurgery, Dankook University College of Medicine) ;
  • Yoon, Kyeong-Wook (Department of Neurosurgery, Dankook University College of Medicine) ;
  • Lee, Sang Koo (Department of Neurosurgery, Dankook University College of Medicine) ;
  • Kim, Young-Jin (Department of Neurosurgery, Dankook University College of Medicine)
  • Received : 2013.02.04
  • Accepted : 2014.01.10
  • Published : 2014.02.28
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Abstract

Perineurial cysts (Tarlov cysts) are lesions of the nerve root that are often observed in the sacral area. There is debate about whether symptomatic perineurial cysts should be treated surgically. We presented three patients with symptomatic perineurial cyst who were treated surgically, and introduced sacral recapping laminectomy. Patients complained of low back pain and hypesthesia on lower extremities. We performed operations with sacral recapping technique for all three. The outcome measure was baseline visual analogue score and post operative follow up magnetic resonance images. All patients were completely relieved of symptoms after operation. Although not sufficient to address controversies, this small case series introduces successful use of a particular surgical technique to treat sacral perineural cyst, with resolution of most symptoms and no sequelae.

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References

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