Acta Neurochirurgica

, Volume 148, Issue 4, pp 479–483

Presacral mass consisting of a meningocele and a Tarlov cyst: successful surgical treatment based on pathogenic hypothesis

  • M. Hefti
  • H. Landolt
Case Report

DOI: 10.1007/s00701-005-0684-2

Cite this article as:
Hefti, M. & Landolt, H. Acta Neurochir (Wien) (2006) 148: 479. doi:10.1007/s00701-005-0684-2


This illustrative case shows a meningocele created by erosion of the sacrum by a perineurial cyst. It is the first report of a large presacral mass consisting of a perineurial cyst and a meningocele simultaneously. We describe a hypothesis for the pathogenesis of this particular constellation of circumstances and present a successful surgical option based on the assumed pathogenesis.

Keywords: Tarlov cyst; presacral mass; perineurial cyst; meningocele. 

Copyright information

© Springer-Verlag/Wien 2005

Authors and Affiliations

  • M. Hefti
    • 1
  • H. Landolt
    • 1
  1. 1.Department of NeurosurgeryKantonsspital AarauAarauSwitzerland

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