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pISSN 2005-9159
eISSN 2093-0569

Brief Report

Korean J Pain 2012; 25(3): 191-194

Published online July 31, 2012 https://doi.org/10.3344/kjp.2012.25.3.191

Copyright © The Korean Pain Society.

Clinical Experience of Symptomatic Sacral Perineural Cyst

Ki Tae Jung, MD, Hyun Young Lee, MD, and Kyung Joon Lim, MD*

Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University, Gwangju, Korea.

Correspondence to: Kyung Joon Lim, MD. Department of Anesthesiology and Pain Medicine, Chosun University Hospital, School of Medicine, Chosun University, 365 Pilmun-daero, Dong-gu, Gwangju 501-717, Korea. Tel: +82-62-220-3223, Fax: +82-62-223-2333, kjlim@chosun.ac.kr

Received: April 16, 2012; Revised: May 2, 2012; Accepted: May 31, 2012

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Tarlov or perineural cysts are nerve root cysts found most commonly at the sacral spine level arising between covering layers of the perineurium and the endoneurium near the dorsal root ganglion and are usually asymptomatic. Symptomatic sacral perineural cysts are uncommon but sometimes require surgical treatment. A 69-year-old male presented with pain in the buttock. He was diagnosed as having a sacral cyst with magnetic resonance imaging. For the nonoperative diagnosis and treatment, caudal peridurography and block were performed. After the treatment, the patient's symptom was relieved. We suggest a caudal peridural block is effective in relieving pain from a sacral cyst.

Keywords: caudal peridural block, perineural cyst, sacral Tarlov cyst