{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T23:54:19Z","timestamp":1786665259252,"version":"build-2736575974"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T00:00:00Z","timestamp":1721088000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,7]]},"abstract":"Key Clinical Message<\/jats:title>Tarlov cysts are uncommon causes of sacral radiculopathy, with particular predilection to second and third sacral roots, requiring timely diagnosis with lumbosacral MRI, and surgical management if symptomatic.<\/jats:p><\/jats:sec>Abstract<\/jats:title>Tarlov cysts or Type II meningeal cysts, are CSF\u2010filled sacs located in the extradural space of the sacral spinal canal, commonly originating at the dorsal root ganglion. While they were first documented by Tarlov in 1938, their etiology remains uncertain, with theories suggesting trauma\u2010induced bleeding or congenital abnormalities. These cysts, estimated to affect between 1% and 9% of the adult population, typically manifest as incidental findings but may lead to symptoms such as radiculopathies, sacral pain, and weakness in related sacral muscles. We present a case of a 63\u2010year\u2010old female presenting with recurrent left buttock pain and radiating leg discomfort. Physical examination revealed tenderness in the left buttock region, positive straight leg raise test, and minimal sensory deficits in the S1\u2010S2 dermatomes. A provisional diagnosis of radiculopathy was made, prompting further evaluation with MRI, revealing a Tarlov cyst and absence of lumbar spinal canal stenosis or neural foraminal compromise. The patient declined intervention and was managed conservatively. This case highlights the diagnostic challenges and therapeutic considerations in managing symptomatic Tarlov cysts, emphasizing the importance of tailored treatment strategies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.9189","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T07:53:57Z","timestamp":1721116437000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Uncommon cause of radiculopathy: A case of symptomatic Tarlov cyst in an elderly female and literature review"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5051-2037","authenticated-orcid":false,"given":"Shritik","family":"Devkota","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis and Imaging Anil Baghi Hospital Punjab India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6808-1116","authenticated-orcid":false,"given":"Sugat","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Shreegaun Primary Health Care Center Dang Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4839-5116","authenticated-orcid":false,"given":"Samiksha","family":"Lamichhane","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Imaging B. 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Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bishal","family":"Koirala","sequence":"additional","affiliation":[{"name":"Shreegaun Primary Health Care Center Dang Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arif Hussain","family":"Sarmast","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Anil Baghi Hospital Punjab India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1988.68.3.0366"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/2011.9.FOCUS11221"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.22353"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2003.15.2.15"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bsd.0000133495.78245.71"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02688697.2021.1874294"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurad.2016.09.006"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2009.45.3.185"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/jss.2019.11.11"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2001.95.1.0025"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2998-x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1275599"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.9189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T12:48:01Z","timestamp":1748350081000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.9189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1002\/ccr3.9189"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.9189","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-03-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e9189"}}