Sá Márcia Cristina da Paixão Rodrigues Miranda de, Sá Renato Carlos Ferreira Leite Miranda de
Serviço de Neurocirurgia da Unidade Médica São Paulo, (UNIMESP), Hospital do Mandaqui, São Paulo SP, Brazil.
Arq Neuropsiquiatr. 2004 Sep;62(3A):689-94. doi: 10.1590/s0004-282x2004000400023. Epub 2004 Aug 24.
Four perineurial cysts cases (Tarlov's cysts) are reported. The purpose of this study is to describe and to compare them with data from a literature review. The evaluation was performed among 88 adult patients with symptoms of radiculopathy, sacral pain, low back pain. Four patients revealed Tarlov's cysts (4.5%). The diagnosis was made by magnetic resonance imaging. Four cases underwent sacral laminectomy. Following surgery, the claudication pain resolved with no motor or sensory deficits. Tarlov's cysts should be considered as a differential diagnosis of sacral radiculopathy, sacral or lumbar pain syndromes and mainly to the lumbar disc prolapse. The goal of the surgical treatment is to relieve the neural compression and stop bone erosion.
报告了4例神经束膜囊肿（塔尔洛夫囊肿）病例。本研究的目的是对这些病例进行描述，并与文献综述中的数据进行比较。对88例有神经根病、骶骨疼痛、腰痛症状的成年患者进行了评估。4例患者发现有塔尔洛夫囊肿（4.5%）。诊断通过磁共振成像做出。4例患者接受了骶骨椎板切除术。术后，跛行疼痛消失，无运动或感觉功能障碍。塔尔洛夫囊肿应被视为骶神经根病、骶骨或腰椎疼痛综合征，尤其是腰椎间盘突出症的鉴别诊断。手术治疗的目的是减轻神经压迫并阻止骨质侵蚀。
