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CASE REPORT
Year : 2012  |  Volume : 27  |  Issue : 2  |  Page : 111-114

Multilocular disseminated Tarlov cysts: Importance of imaging and management options


Department of Nuclear Medicine and PET CT, Amrita Institute of Medical Sciences, Cochin, Kerala, India

Correspondence Address:
Subramanyam Padma
Clinical Professor, Department of Nuclear Medicine and PET CT, Amrita Institute of Medical Sciences, Cochin - 682 041 Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.110702

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With technological advancements and wider availability of multimodality imaging, incidental lesions are frequently identified in patients undergoing various imaging studies. We report here a case of multiloculated disseminated perineural or Tarlov cysts (TCs). The primary aim of this case study was to (1) provide a comprehensive review of the clinical, imaging, and histopathological features of TCs (2) to draw attention to the fact that multiple lumbosacral and dorsal TCs can produce nerve injuries and serious movement disturbances, and (3) to document the usefulness of the magnetic resonance imaging and bone scan in non-invasive diagnosis and guiding management in such cases. These cysts are clearly identified by magnetic resonance imaging (MRI) and computerized tomography imaging of the lumbosacral spine. However, there are no reports on the scintigraphic findings of multilocular disseminated TC in literature. TCs are typically benign, asymptomatic lesions that can simply be monitored. To date, no consensus exists about the best surgical strategy to use when indicated.


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