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Test Paper 5
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
A 53-year-old man with acute left leg pain in the distribution of the left L5 nerve was referred for an MRI of the lumbar spine. MRI revealed a well-defined lesion with low signal on T1W images and high signal on T2W images in the lateral aspect of the spinal canal, in close relation to the L4/5 facet joint. What is the diagnosis? GanglionSynovial cystNeurofibromaArachnoid cystTarlov cyst
Pelvic occupation: the challenges of treating a symptomatic tarlov cyst
Published in British Journal of Neurosurgery, 2019
Amad Khan, Holly Y. Wilson, Davide Boeris, Richard Nelson
The authors of one study found that patients who had Tarlov cysts larger than 1.5 cm and were symptomatic with radicular pain or bowel/bladder dysfunction benefited the most from surgical intervention.2 Another study proposed conservative measure like NSAIDs and physiotherapy in the first instance for patients who were symptomatic with radicular pain, with surgery being reserved for those that conservative measures failed.2 They also suggested that patients presenting with symptoms exacerbated by postural changes or Valsalva manoeuvres, as was true in the present case, are likely to benefit most from surgery.2
A novel surgical technique for treatment of symptomatic Tarlov cysts
Published in British Journal of Neurosurgery, 2023
Kemal Yucesoy, Murat Yilmaz, Hulagu Kaptan, Ersin Ikizoglu, Mert Arslan, Serhat R. Erbayraktar
Sacral perineural cysts, also known as Tarlov cyst (TC), originate from the junction of the dorsal root ganglion and the nerve root. These are generally asymptomatic and do not either cause any complaints or require specific treatment.1 However, from time to time, they cause various complaints depending on the compression of the nerve root or neighboring nerve roots.2 Today, although the majority of cases are case reports or case series related to these cysts, the diagnosis and treatment of these cysts is still controversial despite the existence of many publications.3