{"id":"44cfc9cf-5648-4d20-8435-141125c7c2ca","slug":"symptomatic-lumbar-tarlov-cyst-resolution-after-computed-tomography-guided-percutaneous-trans-sacral-fibrin-glue-intracystic-injection-a-case-report-and-literature-review","title":"Symptomatic lumbar Tarlov cyst resolution after computed tomography-guided percutaneous trans-sacral fibrin glue intracystic injection: A case report and literature review","authors":["Ciro Mastantuoni","Nour-Louise Martin","Enrico Tessitore"],"abstract":"Background: Perineural Tarlov cysts are extrathecal cerebrospinal fluid-filled cavities in the perineural recesses around dorsal spinal nerve roots. They are mostly asymptomatic but may occasionally cause back pain, radiculopathy, neurological deficits, and idiopathic intracranial hypotension. Case Description: A 40-year-old female presented with a partial left foot drop attributed to a symptomatic L5 Tarlov cyst with an extension anterior to the sacrum. Following a computed tomography (CT)-guided percutaneous trans-sacral fibrin glue intracystic injection, the cyst was markedly reduced in size, and the patient’s symptoms resolved. Conclusion: Rarely, patients may present with symptomatic lumbar Tarlov cysts located anterior to the sacrum. Here, we present a patient whose left-sided foot drop resolved following the percutaneous trans-sacral CT-guided L5 intracyst injection of fibrin glue.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/44cfc9cf-5648-4d20-8435-141125c7c2ca/featured/hero-1781559583648.png","publishDate":"2024-04-19T00:00:00.000Z","doi":"10.25259/SNI_139_2024","categories":["Pain","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/04/12863/SNI-15-137.pdf"}