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    Incomplete cauda equina syndrome secondary to haemorrhage within a Tarlov cyst.

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    URI
    http://hdl.handle.net/11287/620459
    Author
    Yates, Joseph R.
    Jones, Conor S.
    Stokes, Oliver M.
    Hutton, Mike
    Date
    2017-08-07
    Journal
    BMJ case reports
    Type
    Case Report
    Publisher
    BMJ
    DOI
    10.1136/bcr-2017-219890
    Rights
    Archived with thanks to BMJ case reports
    Metadata
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    Abstract
    Sacral perineural (Tarlov) cysts are benign, cerebrospinal fluid containing lesions of the spinal nerve root sheath. They are usually asymptomatic; however, a small proportion have the potential to cause compression of nerve roots and/or the cauda equina.We report a case of a 61-year-old man who presented with acute onset back pain associated with bilateral radiculopathy. Between referral and consultation, the patient developed urinary dysfunction which resolved spontaneously.MRI revealed haemorrhage within a Tarlov cyst, resulting in compression of the cauda equina. Due to the considerable clinical improvement at the time of consultation, surgical decompression of the cyst was not considered to be indicated.An interval MRI scan 8 weeks later demonstrated that the haemorrhage within the perineural cyst had spontaneously resolved and the patient remained asymptomatic at 5-year follow-up.
    Citation
    Incomplete cauda equina syndrome secondary to haemorrhage within a Tarlov cyst. 2017, 2017 BMJ Case Rep
    Publisher URL
    http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=28784878
    Collections
    • 2017 RD&E publications
    • Exeter Spinal Surgery Unit
    • Medical students

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