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The cases of reported symptomatic Tarlov cysts ranges from 15% to 30% of the overall reported Tarlov cyst case, depending on the source of literature. Nevertheless, these cysts are important clinical entities because of their tendency to increase in size over time, potentially causing complications and eroding the surrounding bone tissue.
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 .
Endoscopic pilonidal treatment, which uses a small camera to guide the surgeon in removing hair, is a newer method of treatment that has minimal pain and quick healing compared to surgery. A literature review of 497 patients found that the average endoscopic operation time was 34.7 minutes, and the average healing time was 32.9 days.
In 2014, a study involving 30 patients with pudendal neuralgia and who had not achieved pain relief with other treatments underwent pulsed radiofrequency under computed tomography guidance. [ 64 ] 26 of the patients completed the study, and reported 83% pain relief at 6 months after the procedure, and 79% pain relief after 1 year. [ 64 ]
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.
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Tarlov cyst: Perineural (or Tarlov) cysts are cerebrospinal fluid-filled nerve root cysts most commonly found at the sacral level of the spine, although they can be found in any section of the spine, which can cause progressively painful radiculopathy 1 list: Antisocial personality disorder
These can compress or irritate the cauda equina, and potentially lead to HFS. Patients with region three pathology typically show limited response to treatment, but some have experienced significant improvement or even full recovery following spinal surgery. [1] Potential triggers: Lumbosacral radiculopathy