Abstract
This study analyzed the clinical characteristics and outcomes of sacral extradural spinal meningeal cysts with spinal nerve root fibers treated by reconstruction of the nerve root sheaths. The relationships between the cysts and spinal nerve root fibers were examined microscopically, the cysts were partially excised, and the defects were oversewn to reconstruct the nerve root sheaths. The Improved Japanese Orthopedic Association (IJOA) scoring system was used to evaluate preoperative and postoperative neurological function. Thirty-eight patients were included in this study, with a mean age of 41.4±15.57 years. The mean IJOA score was 18.8±1.32 preoperatively and 19.6±0.65 postoperatively, which was a significant difference (t=−3.77, P=0.001). These results indicate a significant improvement in neurological function after surgery. The most significant improvement in neurological function was sensation (z=−2.86, P=0.004), followed by bowel/bladder function (z=−2.31, P=0.02).
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Nabors M W, Pait T G, Byrd E B, et al. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg, 1988, 68: 366–377
Tarlov I M. Spinal perineurial and meningeal cysts. J Neurol Neurosurg Psychiatry, 1970, 33: 833–843
Cantore G, Bistazzoni S, Esposito V. Sacral Tarlov cyst: surgical treatment by clipping. World Neurosurg, 2013, 79: 381–389
Singh P K, Singh V K, Orth D, et al. Tarlov cyst and infertility. J Spinal Cord Med, 2009, 32: 191–197
Voyadzis J M, Bhargava P, Henderson F C. Tarlov cysts: a study of 10 cases with review of the literature. J Neurosurg, 2001, 95: 25–32
Lingor P, Koch J C, Tönges L, et al. Axonal degeneration as a therapeutic target in the CNS. Cell Tissue Res, 2012, 349: 289–311
Acosta F L, Quinones-hinojosa A, Schmidt M H, et al. Diagnosis and management of sacral Tarlov cysts-case report and review of the literature. Neurosurg Focus, 2003, 15: 1–4
Park H J, Kim S, Lee S W, et al. Two cases of symptomatic perineural cysts (Tarlov cysts) in one family-a case report. J Korean Neurosurg Soc, 2008, 44: 174–177
Ju C, Shin H, Kim S W, et al. Sacral perineural cyst accompanying disc herniation. J Korean Neurosurg Soc, 2009, 45: 185–187
Peña E, Llanero M. Painful legs and moving toes syndrome associated with a sacral Tarlov cyst. Parkinson Related Dis, 2011, 17: 645–646
Fernandes C, Pinho R, Veloso R, et al. Tarlov cysts: an unusual case of perianal pain. Tech Coloproctol, 2012, 16: 319–320
Wang Z Y, Sun J J, Xie J C, et al. Comparative analysis on the diagnosis and treatments of multi-segment intramedullary spinal cord tumors between the different age groups. Neurosurg Rev, 2012, 35: 85–93
Orahilly R, Muller F, Meyer D B. The human vertebral column at the end of the embryonic period proper. The sacrococcygeal region. J Anat, 1990, 168: 95–111
Landers J, Seex K. Sacral perineural cysts: imaging and treatment options. Br J Neurosurg, 2002, 16: 182–185
Freidenstein J, Aldrete J A, Ness T. Minimally invasive interventional therapy for Tarlov cysts causing symptoms of interstitial cystitis. Pain Phys, 2012, 15: 141–146
Duja C M, Berna C, Kremer S, et al. Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov cyst: case report. BMC Emerg Med, 2010, 10: 18
Slipman C W, Bhat A L, Bhagia S M, et al. Abdominal pain secondary to a sacral perineural cyst. Spine J, 2003, 3: 317–320
Jung K T, Lee H Y, Lim K J. Clinical experience of symptomatic sacral perineural cyst. Korean J Pain, 2012, 25: 191–194
Tanaka M, Nakahara S, Ito Y, et al. Surgical results of sacral perineural (Tarlov) Cysts. Acta Med Okayama, 2006, 60: 65–70
Patel M R, Louie W, Rachlin J. Percutaneous fibrin glue therapy of meningeal cysts of the sacral spine. AJR, 1997, 168: 367–370
Xu J Q, Sun Y D, Huang X, et al. Management of symptomatic sacral perineural cysts. PLoS ONE, 2012, 7: e39958
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Sun, J., Wang, Z., Li, Z. et al. Reconstruction of nerve root sheaths for sacral extradural spinal meningeal cysts with spinal nerve root fibers. Sci. China Life Sci. 56, 1007–1013 (2013). https://doi.org/10.1007/s11427-013-4536-7
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DOI: https://doi.org/10.1007/s11427-013-4536-7