Pain Unit, Anesthesia Department, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona,
Pain Unit (Anesthesia Department), Mas Casanovas 90, 08025 Barcelona
Spain
Case Report
An Epidurogram During Fluoroscopy-Guided Caudal Epidural Reveals an Asymptomatic Tarlov Cyst in a Patient with Lumbar Radicular Pain: A Case Report
Author(s): Revuelta M, Bausili M, Melo M and Catala ERevuelta M, Bausili M, Melo M and Catala E
Objective: Tarlov cysts are cerebrospinal fluid dilatations of the nerve root sheath at the dorsal root ganglion level. We report the incidental finding of a Tarlov cyst during a fluoroscopy-guided caudal epidural injection in a patient with acute lumbar radicular pain due to disc herniation.
Case report: A 76-year-old male was scheduled for an epidural steroid injection (ESI) for acute L5 radicular pain caused by a paracentral disc nucleous pulposus herniation. The ESI was administered via a caudal route because the patient had back surgery at the L3-L4 for Mal de Pott tuberculoses when he was 23-years old. The epidurogram revealed a fusiform image at the sacral level and the procedure was stopped. Afterwards, an MRI showed a sacral cyst of 50 × 18 mm and a left paracentral disc herniation at L4-L5 with L5 root compression.
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DOI:
10.4172/2165-7939.1000309
Journal of Spine received 2022 citations as per Google Scholar report