De Sá Márcia Cristina, D'Angelo Carla Tereza, Da Ros Malacarne Guilherme, Neto Pedro, Pagura Jorge
Serviço de Neurocirurgia, Hospital Estadual Mário Covas de Santo André, Brasil.
Acta Med Port. 2008 Mar-Apr;21(2):171-8. Epub 2008 Jul 26.
Tarlov's cyst or perineurial cyst is disease on portion of the posterior nerve root in lumbo-sacral region. The lack of knowledge of physicians around the world about Tarlov's cyst as to their nature, significance and treatment also with differential diagnostics to radiculopathy in legs. With review of literature discuss about definition, etiopathogenesis, diagnostic investigation and treatment clinic and/or surgery. The pathogenesis Tarlov's cyst remains unclear; several cases have history of the trauma, old hemorrhage, congenital and iatrogenic. Cysts provoke low back pain, sacral radiculopathy, dyspareunia, urinary incontence. The magnetic resonance imaging is now the gold standard to diagnose cysts. The treatment is clinic or surgery depending neurologics finding and neuroimage.
塔尔洛夫囊肿或神经束膜囊肿是腰骶部后神经根部分的疾病。世界各地的医生对塔尔洛夫囊肿的性质、意义、治疗以及与腿部神经根病的鉴别诊断缺乏了解。通过文献综述,讨论了其定义、病因发病机制、诊断研究以及临床和/或手术治疗。塔尔洛夫囊肿的发病机制尚不清楚;有几例有创伤、陈旧性出血、先天性和医源性病史。囊肿可引发下腰痛、骶神经根病、性交困难、尿失禁。磁共振成像现在是诊断囊肿的金标准。治疗方法根据神经学检查结果和神经影像而定,包括临床治疗或手术治疗。