{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T16:21:43Z","timestamp":1776270103014,"version":"3.50.1"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Tarlov or perineural cysts are dilations of nerve roots resulting from a pathologically increased cerebrospinal fluid pressure. Although it is very common in the general population, most of these cysts remain asymptomatic. In some cases, they can evolve and exert pressure on neural elements, independently from their initial size.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case report<\/jats:title><jats:p>In this paper, we describe the case of a 33-year-old female known to have asymptomatic multiple and large radicular and pelvic Tarlov cysts. One cyst located in the right pelvic space progressed acutely after delivery, inducing a painful sciatica without neurological deficit. The intracystic bleeding can be a direct consequence of the delivery, leading to an acute and mechanical local compression of the right S1 root. A CT-guided puncture and aspiration allowed a complete recovery. This case report was completed by a review of the literature of these rare intracystic Tarlov bleedings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Intracystic hemorrhage is a rare complication of Tarlov cysts. Delivery-induced cyst bleeding was not described before. Patients known to have large and multiple Tarlov cysts should be monitored in post-partum, as their presence is considered a risk factor. Percutaneous cyst aspiration seems to be an effective and safe treatment to relieve symptoms.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.788786","type":"journal-article","created":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T04:49:21Z","timestamp":1657601361000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["CT-Guided Aspiration of a Hemorrhagic Tarlov Cyst for the Treatment of a Post-Partum Sciatica: A Case Report and a Review of the Literature"],"prefix":"10.3389","volume":"9","author":[{"given":"Nicolas","family":"Serratrice","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarkis","family":"Taifour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Attieh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joe","family":"Faddoul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bilal","family":"Tarabay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yassine","family":"Yachou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moussa A.","family":"Chalah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samar S.","family":"Ayache","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georges Na\u00efm","family":"Abi Lahoud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,12]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2237","DOI":"10.1007\/s00586-019-05996-1","article-title":"Symptomatic Tarlov cysts are often overlooked: ten reasons why-a narrative review","volume":"28","author":"Hulens","year":"2019","journal-title":"Eur Spine J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1007\/s00276-020-02644-y","article-title":"Global incidence of spinal perineural Tarlov\u2019s Cysts and their morphological characteristics: a meta-analysis of 13,266 subjects","volume":"43","author":"Klepinowski","year":"2021","journal-title":"Surg Radiol 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meningeal cysts in the Sacrum: successful neurosurgical treatment","volume":"126","author":"Feigenbaum","year":"2015","journal-title":"Obstet Gynecol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/2018.10.SPINE18952","article-title":"A systematic comparative outcome analysis of surgical versus percutaneous techniques in\u00a0the management of symptomatic sacral perineural (Tarlov) cysts: a meta-analysis","volume":"8","author":"Sharma","year":"2019","journal-title":"J Neurosurg Spine"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/02688697.2021.1874294","article-title":"A systematic review of the efficacy of surgical intervention in the management of symptomatic Tarlov cysts: a meta-analysis","volume":"23","author":"Kameda-Smith","year":"2021","journal-title":"Br J Neurosurg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1007\/s00062-017-0597-5","article-title":"Tarlov cyst hemorrhage causing acute radiculopathy: a case report","volume":"28","author":"Godel","year":"2018","journal-title":"Clin Neuroradiol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"omab063","DOI":"10.1093\/omcr\/omab063","article-title":"Haemorrhagic Tarlov cyst: a rare complication of anticoagulation therapy","volume":"2021","author":"Soon","year":"2021","journal-title":"Oxf Med Case Reports"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e15423","DOI":"10.7759\/cureus.15423","article-title":"Tarlov cyst rupture and intradural hemorrhage mimicking intraspinal carcinomatosis","volume":"13","author":"Sudhakar","year":"2021","journal-title":"Cureus"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e25587","DOI":"10.1097\/MD.0000000000025587","article-title":"Symptomatic perineural cyst after spontaneous subarachnoid hemorrhage: a case report","volume":"100","author":"Eun","year":"2021","journal-title":"Medicine 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