Abstract

Tarlov or perineural cysts are cerebrospinal fluid (CSF)-filled sacs found between the perineurium and epineurium of the nerve roots. It is still unsure whether the origin of these cysts is intradural or extradural. They can either be asymptomatic or create a variety of negative impacts on comfort and quality of life. In this case report, we describe the presentation of multiple Tarlov cysts including one large cyst discovered during a routine cadaveric spinal dissection and the relevant and related literature. To our knowledge, this is the only cadaveric case report of Tarlov cysts and offers an interesting window into their anatomy.

Highlights

  • Perineural cysts, commonly referred to as Tarlov cysts, are cerebrospinal fluid (CSF)-filled sacs in between the perineurium and epineurium of the nerve roots [1,2]

  • Tarlov or perineural cysts are cerebrospinal fluid (CSF)-filled sacs found between the perineurium and epineurium of the nerve roots

  • We describe the presentation of multiple Tarlov cysts including one large cyst discovered during a routine cadaveric spinal dissection and the relevant and related literature

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Summary

Introduction

Perineural cysts, commonly referred to as Tarlov cysts, are cerebrospinal fluid (CSF)-filled sacs in between the perineurium and epineurium of the nerve roots [1,2]. They are most common in the sacrum and generally occur at or near the junction of the posterior root and dorsal root ganglion and are bordered by reticular or nerve fibers [2,3]. This revealed multiple large intrasacral nerve cysts. The posterior elements of the sacrum were removed to expose the intrasacral course of the sacral nerves (Figure 2). The present study did not require approval by an ethics committee at our institution, and the work was performed in accordance with the requirements of the Declaration of Helsinki (64th WMA General Assembly, Fortaleza, Brazil, October 2013)

Discussion
Conclusions
Disclosures
Tarlov IM: Sacral Nerve-Root Cysts
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