On Jungmin, Polania Gutierrez Javier J, Plaza-Lloret Miguel, Dua Anterpreet, Sun Zhuo
Anesthesiology, Rush University Medical Center, Chicago, USA.
Anesthesiology, Augusta University Medical College of Georgia, Augusta, USA.
Cureus. 2023 Jan 18;15(1):e33928. doi: 10.7759/cureus.33928. eCollection 2023 Jan.
Tarlov cysts are extradural meningeal cysts with a collection of cerebrospinal fluid that most often affects sacral nerve roots, causing chronic low back pain and radiculopathy. Still, there is no consensus regarding the best treatment for symptomatic cysts. We describe a patient who developed worsening lower back pain and radiculopathy after interventional drainage and surgical management. Medication and various procedures failed to relieve the pain. Subsequently, the patient received significant pain relief from spinal cord stimulation (SCS). This case provides evidence that SCS could be used to manage refractory pain from Tarlov cysts that have failed to respond to other treatment modalities.
塔洛夫囊肿是一种硬脊膜外的脑脊膜囊肿，其中聚集有脑脊液，最常影响骶神经根，导致慢性下腰痛和神经根病。然而，对于有症状囊肿的最佳治疗方法尚无共识。我们描述了一名患者，该患者在介入引流和手术治疗后出现下腰痛和神经根病加重。药物治疗和各种手术均未能缓解疼痛。随后，该患者通过脊髓刺激（SCS）获得了显著的疼痛缓解。该病例提供了证据，表明SCS可用于治疗对其他治疗方式无反应的塔洛夫囊肿引起的难治性疼痛。
