Sahin Ertugrul, Lee Sang-Ho, Eun Sang Soo
Department of Orthopedic Surgery, Spine Health Wooridul Hospital, Seoul, Korea.
Department of Neurosurgery, Spine Health Wooridul Hospital, Seoul, Korea.
AME Case Rep. 2020 Apr 30;4:11. doi: 10.21037/acr.2020.04.01. eCollection 2020.
Tarlov cysts are a rare pathology characterized by sac formations at the nerve root in the sacrum. Although many options have been proposed, there is still no consensus regarding the optimal treatment strategy. The authors report a case involving a 43-year woman with a sacral perineural cyst causing buttock pain and anus discomfort for 4 years. The patient successfully underwent computed tomography (CT)-guided aspiration. She currently has no symptoms, and 2-year follow-up magnetic resonance imaging revealed a decrease in cyst size. CT-guided aspiration is a safe and effective treatment option, and leads to improvement in cyst-related symptoms with minimal risk.
塔尔洛夫囊肿是一种罕见的病理状况,其特征为骶骨神经根处形成囊腔。尽管已提出多种治疗方案,但对于最佳治疗策略仍未达成共识。作者报告了一例病例,患者为一名43岁女性,患有骶部神经周囊肿,导致臀部疼痛和肛门不适4年。该患者成功接受了计算机断层扫描(CT)引导下的抽吸治疗。她目前无症状,2年的随访磁共振成像显示囊肿大小减小。CT引导下的抽吸是一种安全有效的治疗选择,能以最小的风险改善与囊肿相关的症状。