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The terms "Tarlov cyst" or "sacral perineural cyst" refer to cystic lesions of the spinal meninges with innervation as well as nerve sheath dilatations with subarachnoid communication. While they were once thought to be a histopathological finding, [ 10 ] they can be radiologically confirmed by specialized time lapsed MRI and CT imaging ...
Dural ectasia can be asymptomatic, in which case no intervention is necessary. However, it is associated with chronic pain in patients with Marfan syndrome, suggesting it is a structural risk factor. [20] There is no medical consensus on how to manage symptomatic (painful) dural ectasia.
Isadore Max Tarlov (May 16, 1905 – June 4, 1977) was an American neurosurgeon, academic and researcher. He was the first doctor to provide a methodical description of perineurial cysts of the spinal region, which are now known as Tarlov cysts .
Treatment is often dependent on the duration and severity of the pain and dysfunction. In the acute phase (first 1–2 weeks) for a mild sprain of the sacroiliac, it is typical for the patient to be prescribed rest, ice/heat, spinal manipulation, [ 35 ] and physical therapy; anti-inflammatory medicine can also be helpful.
The first task of diagnosis is to determine whether the pain is related to the coccyx. Physical rectal examination, high-resolution X-rays and MRI scans can rule out various causes unrelated to the coccyx, such as Tarlov cysts and pain referred from higher up the spine. Note that, contrary to most anatomical textbooks, most coccyxes consist of ...
Bertolotti's syndrome is characterized by sacralization of the lowest lumbar vertebral body and lumbarization of the uppermost sacral segment. It involves a total or partial unilateral or bilateral fusion of the transverse process of the lowest lumbar vertebra to the sacrum, leading to the formation of a transitional 5th lumbar vertebra.
Sacral nerve stimulation, also termed sacral neuromodulation, is a type of medical electrical stimulation therapy. It typically involves the implantation of a programmable stimulator subcutaneously , which delivers low amplitude electrical stimulation via a lead to the sacral nerve , usually accessed via the S3 foramen .
Medications to combat any neuropathic pain symptoms such as shooting and stabbing pains (e.g. gabapentin or pregabalin) would be first-line choices. Opiates are usually prescribed for pain for management of this condition. Conversely, facet joint injections are not indicated for the treatment of syringomyelia. [30]