Spinal cord stimulation for the treatment of chronic pelvic pain after Tarlov cyst surgery in a 66-year-old woman: A case report.
Chronic pain
Pelvic pain
Spinal cord stimulator
Tarlov cyst
Journal
Case reports in women's health
ISSN: 2214-9112
Titre abrégé: Case Rep Womens Health
Pays: Netherlands
ID NLM: 101682122
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
04
12
2019
revised:
30
12
2019
accepted:
03
01
2020
entrez:
21
1
2020
pubmed:
21
1
2020
medline:
21
1
2020
Statut:
epublish
Résumé
Tarlov cysts are extradural meningeal cysts with collections of cerebrospinal fluid within the nerve sheath. These cysts are uncommon but tend to present more often in women. Symptomatic Tarlov cysts can lead to a variety of neurologic symptoms and painful conditions, including chronic pelvic pain. There is no consensus regarding the best treatment for symptomatic cysts. Surgical management has high rates of complication, including chronic pain, but better long-term results for symptom and cyst resolution. We describe a patient who developed worsening pelvic pain and lumbar radiculopathy after surgical management of her Tarlov cysts. Medication failed to relieve the pain, as did a variety of other procedures, before the patient ultimately received significant pain relief from high-frequency spinal cord stimulation. This case may provide guidance for physicians when managing patients suffering from symptomatic Tarlov cysts, or worsening pain symptoms after surgical management of these cysts.
Identifiants
pubmed: 31956516
doi: 10.1016/j.crwh.2020.e00171
pii: S2214-9112(20)30001-1
pii: e00171
pmc: PMC6962650
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e00171Informations de copyright
© 2020 Published by Elsevier B.V.
Références
J Spinal Disord Tech. 2005 Feb;18(1):29-33
pubmed: 15687849
Neurosurg Focus. 2011 Dec;31(6):E14
pubmed: 22133181
Pain Med. 2006 Sep-Oct;7(5):440-3
pubmed: 17014604
AJR Am J Roentgenol. 2011 May;196(5):1151-5
pubmed: 21512084
AJR Am J Roentgenol. 1997 Feb;168(2):367-70
pubmed: 9016209
J Neurosurg. 1984 Sep;61(3):596-8
pubmed: 6747699
J Pain Res. 2014 Nov 18;7:651-63
pubmed: 25429237
J Neurosurg Sci. 2012 Dec;56(4):287-98
pubmed: 23111289
Surg Neurol. 2003 Feb;59(2):101-5; discussion 105-6
pubmed: 12648906
J Neurosurg Spine. 2019 Feb 8;:1-12
pubmed: 30738394
Eur J Neurol. 2007 Sep;14(9):952-70
pubmed: 17718686
AJNR Am J Neuroradiol. 1994 Feb;15(2):293-7; discussion 298-9
pubmed: 8192075
J Neurosurg. 2001 Jul;95(1 Suppl):25-32
pubmed: 11453427