Management of Tarlov cysts: an uncommon but potentially serious spinal column disease—review of the literature and experience with over 1000 referrals.

Tarlov cysts were thought to be anatomic variants of uncertain etiology and clinical significance when initially described over 80 years ago. They are often detected in routine lumbosacral imaging and generally not reported in a differential diagnosis. There is increasing evidence that at least some...

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Publicado en:Neuroradiology Vol. 66; no. 1; pp. 1 - 31
Autores principales: Murphy, Kieran, Nasralla, Mehran, Pron, Gaylene, Almohaimede, Khaled, Schievink, Wouter
Formato: algorithm diagnostic images review tables/charts Journal Article
Publicado: Springer Nature Jan2024
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        10.1007/s00234-023-03226-6
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        atl: Management of Tarlov cysts: an uncommon but potentially serious spinal column disease—review of the literature and experience with over 1000 referrals.
      aug:
        au:
          Murphy, Kieran
          Nasralla, Mehran
          Pron, Gaylene
          Almohaimede, Khaled
          Schievink, Wouter
        affil: Department of Medical Imaging, Toronto Western Hospital, University Health Network, 399 Bathurst St, M5T 2S8, Toronto, ON, Canada
      sug:
        subj:
          Vertebral Body Pathology
          Disease Management
          Cysts Therapy
          Cysts Epidemiology
          Cysts Diagnosis
          Sacrum Pathology
          Spinal Diseases
          Consensus
          Patient Selection
          Referral and Consultation
          Cysts Complications
          Sex Factors
          Pain
          Magnetic Resonance Imaging
      ab: Tarlov cysts were thought to be anatomic variants of uncertain etiology and clinical significance when initially described over 80 years ago. They are often detected in routine lumbosacral imaging and generally not reported in a differential diagnosis. There is increasing evidence that at least some Tarlov cysts are symptomatic and can have a significant adverse impact on patients' health and well-being. Women are disproportionately affected with this condition, often presenting with long-standing pain and neurological dysfunctions. Significant gender bias has been a concern in the management of these patients. Unfortunately, there is no consensus on patient selection or management approaches for symptomatic Tarlov cysts. This review article updates information on the prevalence, diagnosis, clinical significance, and treatments of these cysts. Based on these findings and experience with over 1000 patient referrals, a treatment decision algorithm for symptomatic Tarlov cysts was constructed to provide guidance for appropriate management of patients with these complex cysts.
      pubtype: Academic Journal
      doctype:
        algorithm
        diagnostic images
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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