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Hindi Case Report, J Spine Neurosurg Vol: 4 Issue: 2
Microsurgical Treatment of a Complex Sacral Perineural Cyst Using Paraspinous Muscle Flap: Technical Note
| Jayesh P Thawani*, Hovik John Ashchyan, John Pierce, Nikhil R Nayak, John F Burke, Suhail K Kanchwala and William C Welch | |
| Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. | |
| Corresponding author : Jayesh P Thawani MD, Penn Neurosurgery, University of Pennsylvania, Pennsylvania Hospital, 235 S. 8th Street, Philadelphia, PA, USA 19106 Tel: (800) 789-7366 E-mail: jayesh.thawani@uphs.upenn.edu |
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| Received: December 24, 2014 Accepted: February 03, 2015 Published: February 02, 2015 | |
| Citation: Thawani JP, Ashchyan HJ, Pierce J, Nayak NR, Burke JF (2015) Microsurgical Treatment of a Complex Sacral Perineural Cyst Using Paraspinous Muscle Flap: Technical Note. J Spine Neurosurg 4:2 doi:10.4172/2325-9701.1000182 |
Abstract
Microsurgical Treatment of a Complex Sacral Perineural Cyst Using Paraspinous Muscle Flap: Technical Note
Dr. I.M. Tarlov first described perineural (Tarlov) cysts in 1938. Symptomatic Tarlov cysts are common incidental findings yet uncommon clinical/pathologic entities. Microsurgical treatment of Tarlov cysts is even more rare. We report the microsurgical treatment of a symptomatic complex Tarlov cyst as a case. The patient presented with sacral pain, bilateral sciatica (S1-type), urinary retention, rectal pain with intercourse, gluteal heaviness, and intermittent burning in the S2-4 dermatome. MR imaging revealed a complex sacral Tarlov cyst with bony erosion. The patient was treated microsurgically and had a paraspinous muscle flap advancement procedure performed in conjunction with Plastic Surgery. The patient experienced a positive clinical outcome.
