症状性颈神经周围（塔尔洛夫）囊肿：一例报告
Symptomatic cervical perineural (Tarlov) cyst: a case report.
作者信息
Zibis A H, Fyllos A H, Arvanitis D L
机构信息
Department of Anatomy, Faculty of Medicine, University of Thessaly, Larissa, Greece.
Department of Orthopedics, General Hospital of Karditsa, Karditsa, Greece.
出版信息
Hippokratia. 2015 Jan-Mar;19(1):76-7.
BACKGROUND
Perineural (Tarlov) cysts are benign, usually asymptomatic, cerebrospinal fluid filled cysts of the spine, most often found in the sacral region.
DESCRIPTION OF CASE
We report a Tarlov cyst, located in the cervical spine, in a 44-year-old woman who presented with a 3-week history of radicular symptoms of the right C6 root. The perineural cyst was identified at the C5-C6 level following magnetic resonance imaging of the cervical spine. A conservative approach was chosen, with the use of a soft cervical collar for two weeks, a 15-day-course of oral non-steroidal anti-inflammatory medication and instructions concerning limitation of her activities. The outcome of this approach was 90% improvement of her symptoms 24 months after her diagnosis.
CONCLUSION
This is the first report of a cervical Tarlov cyst treated conservatively without the use of oral or injected steroids. The perineural cyst should be included in the differential diagnosis of patients presenting with radicular symptoms. Hippokratia 2015, 19 (1): 76-77.
背景
神经周围（塔尔洛夫）囊肿是良性的、通常无症状的、充满脑脊液的脊柱囊肿，最常见于骶骨区域。
病例描述
我们报告一例位于颈椎的塔尔洛夫囊肿，患者为一名44岁女性，有3周的右侧C6神经根放射性症状病史。颈椎磁共振成像后在C5 - C6水平发现神经周围囊肿。选择了保守治疗方法，使用软颈托两周，口服非甾体抗炎药15天疗程，并指导患者限制活动。该治疗方法的结果是诊断后24个月患者症状改善了90%。
结论
这是首例未使用口服或注射类固醇而进行保守治疗的颈椎塔尔洛夫囊肿报告。神经周围囊肿应纳入有放射性症状患者的鉴别诊断中。《希波克拉底》2015年，第19卷（第1期）：76 - 77页。
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