Perineural cysts

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Perineural cysts. These are present in 4.6 to 9% of adults. They may be solitary or multiple. Fully referenced neurology checklist.

Pathology

  • These are present in 4.6 to 9% of adults
  • They may be solitary or multiple
  • They are more frequent in elderly women
  • They are typically found in the sacral spine
  • They may also occur in the cervical and thoracic spines

Clinical features

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Aggravating factors

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Differential diagnosis: other sacral cysts

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Non-surgical treatments

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Surgical treatments

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Synonym

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References

  1. Acosta FL, Quinones-Hinojosa A, Schmidt MH, Weinstein PR. Diagnosis and management of sacral Tarlov cysts: case report and review of the literature. Neurosurg Focus 2003; 15:E15.
  2. ArunKumar MJ, Selvapandian S, Chandy MJ. Sacral nerve root cysts: A review on pathophysiology. Neurol India 1999; 47:61-64.
  3. Tarlov IM. Spinal perineurial and meningeal cysts. JNNP 1970; 33:833-843.
  4. Jain M, Sahu NK, Naik S, Bag ND. Symptomatic Tarlov cyst in cervical spine. BMJ Case Rep 2018; 11:e228051.
  5. Tokgöz MA, Kılıçaslan ÖF, Parlak AE. Multiple perineural cysts in the cervical, thoracic, and lumbar vertebrae of a mature individual. Jt Dis Relat Surg 2021; 32:262-266. 
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