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http://dx.doi.org/10.3340/jkns.2009.45.3.185

Sacral Perineural Cyst Accompanying Disc Herniation  

Ju, Chang-Il (Department of Neurosurgery, School of Medicine, Chosun University)
Shin, Ho (Department of Neurosurgery, School of Medicine, Chosun University)
Kim, Seok-Won (Department of Neurosurgery, School of Medicine, Chosun University)
Kim, Hyeun-Sung (Department of Neurosurgery, Mokpo Han Kook Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.45, no.3, 2009 , pp. 185-187 More about this Journal
Abstract
Although most of sacral perineural cysts are asymptomatic, some may produce symptoms. Specific radicular pain may be due to distortion, compression, or stretching of nerve root by a space occupying cyst. We report a rare case of S1 radiculopathy caused by sacral perineural cyst accompanying disc herniation. The patient underwent a microscopic discectomy at L5-S1 level. However, the patient's symptoms did not improved. The hypesthesia persisted, as did the right leg pain. Cyst-subarachnoid shunt was set to decompress nerve root and to equalize the cerebrospinal fluid pressure between the cephalad thecal sac and cyst. Immediately after surgery, the patient had no leg pain. After 6 months, the patient still remained free of leg pain.
Keywords
Sacral perineural cyst; Disc herniation;
Citations & Related Records

Times Cited By Web Of Science : 2  (Related Records In Web of Science)
Times Cited By SCOPUS : 4
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1 ArunKumar MJ, Selvapandian S, Chandy MJ : Sacral nerve root cysts : a review on pathophysiology. Neurol India 47 : 61-64, 1999   PUBMED
2 Patel MR, Louie W, Rachlin J : Percutaneous fibrin glue therapy of meningeal cysts of the sacral spine. AJR Am J Roentgenol 168 : 367-370, 1997   ScienceOn
3 Tarlov IM : Perineurial cysts of the spinal nerve roots. AMA Arch Neurol Psychiatry 40 : 1607-1074, 1938
4 Acosta FL Jr, Quinones-Hinojosa A, Schmidt MH, Weinsten PR : Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurg Focus 15 : E15, 2003   PUBMED
5 Nishiura I, Koyama T, Handa J : Intrasacral perineurial cyst. Surg Neurol 23 : 265-269, 1985   DOI   ScienceOn
6 Raftopoulos C, Pierard GE, Retif C, Braude P, Brotchi J : Endoscopic cure of a giant sacral meningocele associated with Marfan's syndrome : case report. Neurosurgery 30 : 765-768, 1992   DOI   PUBMED
7 Lee JY, Impekoven P, Stenzel W, L$\ddot{o}$hr M, Ernestus RI, Klug N : CT-guided percutaneous aspiration of Tarlov cyst as a useful diagnostic procedure prior to operative intervention. Acta Neurochir (Wien) 146 : 667-670, 2004   PUBMED   ScienceOn
8 Morio Y, Nanjo Y, Nagashima H, Minamizaki T, Teshima R : Sacral cyst managed with cyst-subarachnoid shunt : a technical case report. Spine 26 : 451-453, 2001   DOI   ScienceOn
9 Nabors MW, Pait TG, Byrd EB, Karim NO, Davis DO, Kobrine AI, et al : Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 68 : 366-377, 1988   DOI   PUBMED
10 Kayali H, Duz b, Gonul E : Symptomatic sacral Tarlov cyst : Case report. Jankara Medical School 25 : 103-106, 2003
11 Kunz U, Mauer UM, Waldbaur H : Lumbosacral extradural arachnoid cysts : diagnostic and indication for surgery. Eur Spine J 8 : 218-222, 1999   DOI   ScienceOn
12 Langdown AJ, Grundy JR, Birch NC : The clinical relevance of Tarlov cysts. J Spinal Disord Tech 18 : 29-33, 2005   DOI   ScienceOn
13 Gortvai P : Extradural cysts of the spinal canal. J Neurol Neurosurg Psychiatry 26 : 223-230, 1963   DOI
14 Goyal RN, Russell NA, Benoit BG, Belanger JM : Intraspinal cysts : a classification and literature review. Spine 12 : 209-213, 1987   DOI   PUBMED   ScienceOn
15 Jain SK, Chopra S, Bagaria H, Mathur PP : Sacral perineural cyst presenting as chronic perineal pain : a case report. Neurol India 50 : 514-515, 2002   PUBMED
16 Lim KT, Cho BM, Shin DI, Park SH, Oh SM : Symptomatic Tarlov's Cyst (Sacral Meningeal Cyst).-Case Report-. J Korean Neurosurg Soc 29 : 569-573, 2000