Case 7-2013: A 77-year-old woman with long-standing unilateral thoracic pain and incontinence

New England Journal of Medicine

Volumn 368, Issue 9, 2013, Pages 853-861

  Oaklander, Anne Louise ^a,b   Long, Donlin M ^c   Larvie, Mykol ^a,b   Davidson, Christian J ^a,b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c JOHNS HOPKINS UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

FIBRIN GLUE; METHADONE;

AGED; ALLODYNIA; ANATOMICAL VARIATION; ARTICLE; AUTOPSY; BONE MARROW CANCER; CANCER INVASION; CASE REPORT; CAUSE OF DEATH; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CONNECTIVE TISSUE DISEASE; CONTRAST ENHANCEMENT; CYST ASPIRATION; DIAGNOSTIC IMAGING; DIFFERENTIAL DIAGNOSIS; DISEASE ASSOCIATION; DOSE RESPONSE; FALL RISK; FAMILY HISTORY; FEMALE; FOLLOW UP; GENETIC SCREENING; HEART CANCER; HUMAN; HYPERTENSION; IMAGE ANALYSIS; INCONTINENCE; KIDNEY ADENOMA; LIVER CANCER; LOW DRUG DOSE; LUNG CANCER; MEDICAL DECISION MAKING; MEDICAL HISTORY; MICROSCOPY; MYELOPROLIFERATIVE NEOPLASM; NEPHROSCLEROSIS; NEUROPATHIC PAIN; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOME ASSESSMENT; PAIN ASSESSMENT; PATIENT ASSESSMENT; PHYSICIAN ATTITUDE; PREVALENCE; PRIORITY JOURNAL; PROFESSIONAL COMPETENCE; PROFESSIONAL KNOWLEDGE; RADICULOPATHY; SPLEEN CANCER; TARLOV CYST; THORAX PAIN; CLINICAL OBSERVATION; CLINICAL STUDY; DIAGNOSIS; FECES INCONTINENCE; PATHOLOGY; RADIOGRAPHY; URINE INCONTINENCE; VERTEBRA;

AGED; AUTOPSY; CHEST PAIN; DIAGNOSIS, DIFFERENTIAL; FECAL INCONTINENCE; FEMALE; FIBRIN TISSUE ADHESIVE; HUMANS; MAGNETIC RESONANCE IMAGING; RADICULOPATHY; TARLOV CYSTS; THORACIC VERTEBRAE; URINARY INCONTINENCE;

MLCS; MLOWN;

EID: 84874359984     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJMcpc1114034     Document Type: Article

References (26)

1. Krings T, Geibprasert S. Spinal dural arteriovenous fistulas. AJNR Am J Neuroradiol 2009;30:639-48.
2. Tarlov IM. Perineurial cysts of the spinal nerve roots. Arch Neurol Psychiatry 1938;40:1067-74.
3. Idem. Sacral nerve-root cysts: another cause of the sciatic or cauda equina syndrome. Springfield, IL: Charles C. Thomas, 1953.
4. Joo J, Kim J, Lee J. The prevalence of anatomical variations that can cause inadvertent dural puncture when performing caudal block in Koreans: a study using magnetic resonance imaging. Anaesthesia 2010;65:23-6.
5. Langdown AJ, Grundy JR, Birch NC. The clinical relevance of Tarlov cysts. J Spinal Disord Tech 2005;18:29-33.
6. Paulsen RD, Call GA, Murtagh FR. Prevalence and percutaneous drainage of cysts of the sacral nerve root sheath (Tarlov cysts). AJNR Am J Neuroradiol 1994;15:293-9.
7. Park HJ, Jeon YH, Rho MH, et al. Incidental findings of the lumbar spine at MRI during herniated intervertebral disk disease evaluation. AJR Am J Roentgenol 2011;196:1151-5.
8. Hiers RH, Long D, North RB, Oaklander AL. Hiding in plain sight: a case of Tarlov perineural cysts. J Pain 2010;11:833-7.
9. Isono M, Hori S, Konishi Y, et al. Ehlers-Danlos syndrome associated with multiple spinal meningeal cysts - case report. Neurol Med Chir (Tokyo) 1999;39:380-3.
10. Van de Kelft E, Van Vyve M. Sacral meningeal cysts and perineal pain. Lancet 1993;341:500-1.
11. Murphy KJ, Nussbaum DA, Schnupp S, Long D. Tarlov cysts: an overlooked clinical problem. Semin Musculoskelet Radiol 2011;15:163-7.
12. Cattaneo L, Pavesi G, Mancia D. Sural nerve abnormalities in sacral perineural (Tarlov) cysts. J Neurol 2001;248:623-4.
13. Pyeritz RE, Fishman EK, Bernhardt BA, Siegelman SS. Dural ectasia is a common feature of the Marfan syndrome. Am J Hum Genet 1988;43:726-32.
14. Acosta FL Jr, Quinones-Hinojosa A, Schmidt MH, Weinstein PR. Diagnosis and management of sacral Tarlov cysts: case report and review of the literature. Neurosurg Focus 2003;15:E15.
15. Mummaneni PV, Pitts LH, McCormack BM, Corroo JM, Weinstein PR. Microsurgical treatment of symptomatic sacral Tarlov cysts. Neurosurgery 2000;47:74-9.
16. Murphy K, Wyse G, Schnupp S, et al. Two-needle technique for the treatment of symptomatic Tarlov cysts. J Vasc Interv Radiol 2008;19:771-3. [Erratum, J Vasc Interv Radiol 2008;19:1525.]
17. Caspar W, Papavero L, Nabhan A, Loew C, Ahlhelm F. Microsurgical excision of symptomatic sacral perineurial cysts: a study of 15 cases. Surg Neurol 2003;59:101-6.
18. Guo D, Shu K, Chen R, Ke C, Zhu Y, Lei T. Microsurgical treatment of symptomatic sacral perineurial cysts. Neurosurgery 2007;60:1059-66.
19. Lee JY, Impekoven P, Stenzel W, Löhr M, Ernestus RI, Klug N. CT-guided percutaneous aspiration of Tarlov cyst as a useful diagnostic procedure prior to operative intervention. Acta Neurochir (Wien) 2004;146:667-70.
20. Tanaka M, Nakahara S, Ito Y, et al. Surgical results of sacral perineural (Tarlov) cysts. Acta Med Okayama 2006;60:65-70.
21. Voyadzis JM, Bhargava P, Henderson FC. Tarlov cysts: a study of 10 cases with review of the literature. J Neurosurg 2001;95:Suppl:25-32.
22. Neulen A, Kantelhardt SR, Pilgram-Pastor SM, Metz I, Rohde V, Giese A. Microsurgical fenestration of perineural cysts to the thecal sac at the level of the distal dural sleeve. Acta Neurochir (Wien) 2011;153:1427-34.
23. Tarlov IM. Cysts, perineurial, of the sacral roots: another cause, removable, of sciatic pain. J Am Med Assoc 1948;138:740-4.
24. Parry GJ, Bredesen DE. Sensory neuropathy with low-dose pyridoxine. Neurology 1985;35:1466-8.
25. Tarlov IM. Spinal perineurial and meningeal cysts. J Neurol Neurosurg Psychiatry 1970;33:833-43.
26. Rexed B. Arachnoidal proliferations with cyst formation in human spinal nerve roots at their entry into the intervertebral foramina: preliminary report. J Neurosurg 1947;4:414-21.