Cargando…

Transcatheter arterial embolization for a symptomatic Tarlov cyst with hemorrhage due to an underlying arteriovenous fistula

Symptomatic sacral perineural cysts (Tarlov cysts) accompanied by intra-cyst hemorrhage are rare. The treatment strategies have not been established. We report a 57-year-old woman with severe back pain due to a Tarlov cyst accompanying intracyst hemorrhage. Computed tomography angiography revealed a...

Descripción completa

Detalles Bibliográficos
Autores principales: Yoshikawa, Tatsuya, Katsumori, Tetsuya, Hisano, Mitsuhiro, Yasumura, Toshinori, Sasakura, Yasuteru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8027132/
https://www.ncbi.nlm.nih.gov/pubmed/33854665
http://dx.doi.org/10.1016/j.radcr.2021.02.056
_version_ 1783675763465125888
author Yoshikawa, Tatsuya
Katsumori, Tetsuya
Hisano, Mitsuhiro
Yasumura, Toshinori
Sasakura, Yasuteru
author_facet Yoshikawa, Tatsuya
Katsumori, Tetsuya
Hisano, Mitsuhiro
Yasumura, Toshinori
Sasakura, Yasuteru
author_sort Yoshikawa, Tatsuya
collection PubMed
description Symptomatic sacral perineural cysts (Tarlov cysts) accompanied by intra-cyst hemorrhage are rare. The treatment strategies have not been established. We report a 57-year-old woman with severe back pain due to a Tarlov cyst accompanying intracyst hemorrhage. Computed tomography angiography revealed an arteriovenous fistula (AVF) at the area surrounding the cyst. The patient underwent transcatheter arterial embolization for the AVF. Thereafter, the hematoma and cyst decreased in size, and clinical symptoms markedly improved with no additional surgery. Transcatheter arterial embolization may be an effective alternative to surgery for Tarlov cysts with vascular disease, including AVF.
format Online
Article
Text
id pubmed-8027132
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-80271322021-04-13 Transcatheter arterial embolization for a symptomatic Tarlov cyst with hemorrhage due to an underlying arteriovenous fistula Yoshikawa, Tatsuya Katsumori, Tetsuya Hisano, Mitsuhiro Yasumura, Toshinori Sasakura, Yasuteru Radiol Case Rep Case Report Symptomatic sacral perineural cysts (Tarlov cysts) accompanied by intra-cyst hemorrhage are rare. The treatment strategies have not been established. We report a 57-year-old woman with severe back pain due to a Tarlov cyst accompanying intracyst hemorrhage. Computed tomography angiography revealed an arteriovenous fistula (AVF) at the area surrounding the cyst. The patient underwent transcatheter arterial embolization for the AVF. Thereafter, the hematoma and cyst decreased in size, and clinical symptoms markedly improved with no additional surgery. Transcatheter arterial embolization may be an effective alternative to surgery for Tarlov cysts with vascular disease, including AVF. Elsevier 2021-03-28 /pmc/articles/PMC8027132/ /pubmed/33854665 http://dx.doi.org/10.1016/j.radcr.2021.02.056 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yoshikawa, Tatsuya
Katsumori, Tetsuya
Hisano, Mitsuhiro
Yasumura, Toshinori
Sasakura, Yasuteru
Transcatheter arterial embolization for a symptomatic Tarlov cyst with hemorrhage due to an underlying arteriovenous fistula
title Transcatheter arterial embolization for a symptomatic Tarlov cyst with hemorrhage due to an underlying arteriovenous fistula
title_full Transcatheter arterial embolization for a symptomatic Tarlov cyst with hemorrhage due to an underlying arteriovenous fistula
title_fullStr Transcatheter arterial embolization for a symptomatic Tarlov cyst with hemorrhage due to an underlying arteriovenous fistula
title_full_unstemmed Transcatheter arterial embolization for a symptomatic Tarlov cyst with hemorrhage due to an underlying arteriovenous fistula
title_short Transcatheter arterial embolization for a symptomatic Tarlov cyst with hemorrhage due to an underlying arteriovenous fistula
title_sort transcatheter arterial embolization for a symptomatic tarlov cyst with hemorrhage due to an underlying arteriovenous fistula
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8027132/
https://www.ncbi.nlm.nih.gov/pubmed/33854665
http://dx.doi.org/10.1016/j.radcr.2021.02.056
work_keys_str_mv AT yoshikawatatsuya transcatheterarterialembolizationforasymptomatictarlovcystwithhemorrhageduetoanunderlyingarteriovenousfistula
AT katsumoritetsuya transcatheterarterialembolizationforasymptomatictarlovcystwithhemorrhageduetoanunderlyingarteriovenousfistula
AT hisanomitsuhiro transcatheterarterialembolizationforasymptomatictarlovcystwithhemorrhageduetoanunderlyingarteriovenousfistula
AT yasumuratoshinori transcatheterarterialembolizationforasymptomatictarlovcystwithhemorrhageduetoanunderlyingarteriovenousfistula
AT sasakurayasuteru transcatheterarterialembolizationforasymptomatictarlovcystwithhemorrhageduetoanunderlyingarteriovenousfistula