{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:48:47Z","timestamp":1776095327548,"version":"3.50.1"},"reference-count":12,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"3","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. colomb. obstet. ginecol."],"abstract":"<jats:p>Objetivo: analizar el abordaje diagn\u00f3stico, las consideraciones para el trabajo de parto y el tratamiento de los quistes de Tarlov durante el embarazo, mediante un reporte de caso y revisi\u00f3n de la literatura.\nMateriales y m\u00e9todos: se presenta el caso de una mujer de 31 a\u00f1os, quien es remitida a un hospital general de referencia con un embarazo de 33 semanas, por una masa qu\u00edstica en pelvis. Se practic\u00f3 resonancia magn\u00e9tica que evidenci\u00f3 una imagen qu\u00edstica en continuidad con el saco tecal, asociada a remodelaci\u00f3n \u00f3sea de los cuerpos vertebrales L4, L5 y sacros, con extensi\u00f3n presacra y desplazamiento del recto hacia la derecha. Se diagnostic\u00f3 un quiste de Tarlov. El embarazo termin\u00f3 por ces\u00e1rea bajo anestesia general a la semana 37, debido a la distocia mec\u00e1nica y el alto riesgo de punci\u00f3n del quiste y posterior f\u00edstula de l\u00edquido cefalorraqu\u00eddeo. Se obtuvo un reci\u00e9n nacido sano, de 2.420 g, con evoluci\u00f3n materna y neonatal satisfactoria. En el control, al cuarto mes posoperatorio, la paciente refer\u00eda lumbalgia y estaba en espera de manejo por neurocirug\u00eda. Se realiz\u00f3 una b\u00fasqueda de la literatura en Medline v\u00eda PubMed, Lilacs, SciELO y ScienceDirect, utilizando los t\u00e9rminos \"Embarazo\" y \"Quistes de Tarlov\". Se incluyeron reportes o series de casos de pacientes embarazadas con quiste de Tarlov y revisiones de la literatura. Se hizo revisi\u00f3n de t\u00edtulos y resumen, y extracci\u00f3n de datos por dos autores de manera independiente. Se extrajeron datos de las caracter\u00edsticas de los estudios, la poblaci\u00f3n estudiada, el diagn\u00f3stico, manejo obst\u00e9trico, tratamiento y pron\u00f3stico del quiste de Tarlov. Se hace resumen descriptivo de los hallazgos.\nResultados: se identificaron cinco reportes de caso que cumplieron con los criterios de inclusi\u00f3n. Para el diagn\u00f3stico se emple\u00f3 resonancia magn\u00e9tica sin contraste en todos los casos. En dos casos se realiz\u00f3 el parto v\u00eda ces\u00e1rea. La anestesia neuroaxial fue administrada sin complicaciones en tres de los casos. No se reportaron complicaciones materno-fetales atribuibles directamente a los quistes de Tarlov. Ning\u00fan caso fue intervenido durante el embarazo.\nConclusiones: los quistes de Tarlov durante el embarazo son raros. La resonancia magn\u00e9tica sin contraste es la alternativa m\u00e1s utilizada para establecer el diagn\u00f3stico de esta entidad cl\u00ednica en la gestaci\u00f3n. No parece que los quistes tengan implicaciones sobre los resultados materno-perinatales, ni el embarazo sobre la evoluci\u00f3n del quiste. Se requieren m\u00e1s estudios que incrementen el cuerpo de la evidencia para definir las estrategias obst\u00e9tricas y anest\u00e9sicas \u00f3ptimas en estas pacientes.<\/jats:p>","DOI":"10.18597\/rcog.4468","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T21:43:38Z","timestamp":1760737418000},"update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Quiste de Tarlov gigante durante la gestaci\u00f3n: reporte de caso y revisi\u00f3n de la literatura","Giant Tarlov cyst during pregnancy: case report and literature review"],"prefix":"10.18597","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3422-1642","authenticated-orcid":false,"given":"Sof\u00eda","family":"Silva-Ortiz","sequence":"first","affiliation":[{"name":"Hospital Universitario de la Samaritana, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."},{"name":"Hospital Universitario de la Samaritana, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8217-9064","authenticated-orcid":false,"given":"Juan Sebast\u00edan","family":"Cruz-Reina","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics, Hospital Universitario de la Samaritana, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."},{"name":"Ginecolog\u00eda y Obstetricia, Hospital Universitario de la Samaritana, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9143-1006","authenticated-orcid":false,"given":"Rafael Leonardo","family":"Arag\u00f3n-Mendoza","sequence":"additional","affiliation":[{"name":"Maternal-Fetal Medicine, Hospital Universitario de la Samaritana. Bogot\u00e1 (Colombia)."},{"name":"Medicina Materno-Fetal, Hospital Universitario de la Samaritana. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6652-6991","authenticated-orcid":false,"given":"Roberto","family":"Gallo-Roa","sequence":"additional","affiliation":[{"name":"Maternal-Fetal Medicine, Hospital Universitario de la Samaritana. Bogot\u00e1 (Colombia)."},{"name":"Medicina Materno-Fetal, Hospital Universitario de la Samaritana. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8045-3696","authenticated-orcid":false,"given":"Felipe","family":"Rojas-Borda","sequence":"additional","affiliation":[{"name":"Radiology and Diagnostic Imaging, Universidad Militar Nueva Granada. Bogot\u00e1 (Colombia)."},{"name":"Radiolog\u00eda e Im\u00e1genes Diagn\u00f3sticas, Universidad Militar Nueva Granada. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"104782","doi-asserted-by":"crossref","unstructured":"1. Murphy K, Nasralla M, Pron G, Almohaimede K, Schievink W. Management of Tarlov cysts: An uncommon but potentially serious spinal column disease\u2014review of the literature and experience with over 1000 referrals. Neuroradiology. 2024;66:1-30. https:\/\/doi.org\/10.1007\/s00234-023-03226-6","DOI":"10.1007\/s00234-023-03226-6"},{"key":"104783","doi-asserted-by":"crossref","unstructured":"2. Klepinowski T, Orbik W, Sagan L. Global incidence of spinal perineural Tarlov\u2019s cysts and their morphological characteristics: A meta-analysis of 13,266 subjects. Surg Radiol Anat. 2021;43(6):855-63. https:\/\/doi.org\/10.1007\/s00276-020-02644-y","DOI":"10.1007\/s00276-020-02644-y"},{"key":"104784","unstructured":"3. Dom\u00ednguez-Gasca L, Hasslacher-Arellano J, Arellano-Aguilar G, et al. Quiste de Tarlov sintom\u00e1tico: Un reto de diagn\u00f3stico y manejo. Acta Med. 2015;13(2):104-8."},{"key":"104785","unstructured":"4. Chaves O, Parada L, Marinkovic T. Quiste de Tarlov bilateral, presentaci\u00f3n de un caso. Gac Med Bol. 2017;37(2):97-9."},{"key":"104786","doi-asserted-by":"crossref","unstructured":"5. Lu Y, Bao L, Wang N, Chen S, Qian Y, Gu J, et al. A bibliometric and visualization study of global research trends in sacral Tarlov cyst from 2000 to 2022. Front Surg. 2023;10. https:\/\/doi.org\/10.3389\/fsurg.2023.1301739","DOI":"10.3389\/fsurg.2023.1301739"},{"key":"104787","doi-asserted-by":"crossref","unstructured":"6. Hiers R, Long D, North R, Oaklander A. Hiding in plain sight: A case of Tarlov perineural cysts. J Pain. 2010;11(6):833-7. https:\/\/doi.org\/10.1016\/j.jpain.2010.07.007","DOI":"10.1016\/j.jpain.2010.07.007"},{"key":"104788","doi-asserted-by":"crossref","unstructured":"7. Murphy K, Oaklander A, Elias G, Kathuria S, Long D. Treatment of 213 patients with symptomatic Tarlov cysts by CT-Guided percutaneous injection of fibrin sealant. Am J Neuroradiol. 2016;37(2):373-9. https:\/\/doi.org\/10.3174\/ajnr.A4517.","DOI":"10.3174\/ajnr.A4517"},{"key":"104789","doi-asserted-by":"crossref","unstructured":"8. L\u00f3pez M, Toledo L, Garc\u00eda M, Garc\u00eda B, Bastida A. Anaesthetic considerations for elective cesarean section in a patient with a giant Tarlov cyst. Rev Esp Anestesiol Reanim. 2022;69:493-6. https:\/\/doi.org\/10.1016\/j.redar.2021.09.012","DOI":"10.1016\/j.redare.2022.08.002"},{"key":"104790","doi-asserted-by":"crossref","unstructured":"9. Disi E. Sciatica in early pregnancy with coexisting uterine leiomyoma and Tarlov Cyst: A case report. Cureus. 2022;14(8). https:\/\/doi.org\/10.7759\/cureus.27855","DOI":"10.7759\/cureus.27855"},{"key":"104791","doi-asserted-by":"crossref","unstructured":"10. Kanagawa A, Matsumiya H, Sasaki M, Koyama T, Yamamura M, Moriwaki M, et al. Large presacral Tarlov cysts in pregnancy. Clin Case Rep. 2022;10. https:\/\/doi.org\/10.1002\/ccr3.5837","DOI":"10.1002\/ccr3.5837"},{"key":"104792","doi-asserted-by":"crossref","unstructured":"11. Pfund N, Oh A, Cyna A. Successful spinal anaesthesia in a patient with a Tarlov cyst. Int J Obstet Anesth. 2018;34:96-8. https:\/\/doi.org\/10.1016\/j.ijoa.2017.10.004","DOI":"10.1016\/j.ijoa.2017.10.004"},{"key":"104793","doi-asserted-by":"crossref","unstructured":"12. Taylor J, Collins J. Lumbar epidural analgesia in a nulliparous patient with a low thoracic spinal meningeal cyst and sacral Tarlov cysts: A case report. Int J Obstet Anesth. 2025;62. https:\/\/doi.org\/10.1016\/j.ijoa.2024.104306","DOI":"10.1016\/j.ijoa.2024.104306"}],"container-title":["Revista Colombiana de Obstetricia y Ginecolog\u00eda"],"original-title":[],"link":[{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/4468\/4126","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/4468\/4118","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/4468\/4099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T14:56:54Z","timestamp":1776092214000},"score":1,"resource":{"primary":{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/view\/4468"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,17]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,10,22]]}},"URL":"https:\/\/doi.org\/10.18597\/rcog.4468","relation":{},"ISSN":["2463-0225","0034-7434"],"issn-type":[{"value":"2463-0225","type":"electronic"},{"value":"0034-7434","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10,17]]},"assertion":[{"value":"2025-10-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}},{"value":"Yes","order":0,"name":"peer_reviewed","label":"Peer Reviewed","group":{"name":"peer_review","label":"Peer Review"}},{"value":"Federaci\u00f3n Colombiana de Obstetricia y Ginecolog\u00eda","name":"publisher","label":"This article is maintained by"},{"value":"Revista Colombiana de Osbtetricia y Ginecolog\u00eda","name":"journaltitle","label":"Journal Title"},{"value":"Reporte de Caso","name":"content_type","label":"Content Type"}]}}