Many cases of tarlov cyst or perineural cysts do not show any specific symptoms i.e., they are symptomatic. The treatment for tarlov cyst or perineural cyst is necessary if the tarlov cyst or perineural cyst grows bigger and shows symptoms. In this section of the article, you will learn about the treatment for tarlov cyst or perineural cyst, recovery period, risk factors for tarlov cyst or perineural cyst.

Treatment for Tarlov Cyst or Perineural Cyst

There are treatments available for tarlov cyst or perineural cyst. In most of the cases of tarlov cyst or perineural cyst where no symptoms are observed are left untreated but are monitored on regular basis to analyze the size and look for symptoms. The treatments are preferred only in the cases of symptomatic tarlov cyst or perineural cyst but there are no specifically defined treatments. There are many different types of therapies available like surgery, drugs and some other treatments. The choice of treatment depends on the particular symptoms of an individual. The results of the treatments vary significantly from one person to another.

Treatment for Tarlov Cyst or Perineural Cyst

Corticosteroid injections are used as part of the drugs for the instant relief, which only lasts temporarily. In some cases of treatments for tarlov cyst or perineural cyst, epidural steroid injections have used with long lasting relief from pain which can last for as long as 6 months after which the treatment can be repeated.

Non-steroidal anti-inflammatory drugs (NSAIDs) for tarlov cyst or perineural cyst are also used to treat patients with symptoms of inflammation and nerve irritation. Transcutaneous electrical nerve stimulation or TENS is yet another treatment procedure, which makes use of electrical impulses to provide relief from pain caused by tarlov cyst or perineural cyst.

There are some other set of treatment procedures for tarlov cyst or perineural cyst, which involve draining the cerebrospinal fluid (CSF) from the sacs. The results of such treatments for tarlov cyst or perineural cyst are highly variable in case of different individuals and may not be rewarding for all. Even in some cases, it has been observed that symptoms reappear in just a matter of few hours as the CSF fills the sac again.

There are various surgical and non-surgical methods used for treatment of tarlov cyst or perineural cyst, which involves draining out the CSF and then refilling the sacs with biological materials like fat, fibrin glue or even muscle. Refilling the sacs ensures that the CSF from surrounding does not refill the sacs.

There is yet another type of treatment for tarlov cyst or perineural cyst which involves draining the CSF and then sealing the tarlov cyst or perineural cyst with fibrin glue very much like blood clotting. This method involves very little invasion into body and has shown vastly varying results on different individuals. Some individuals have reported instant relief while others had to wait for the results. In addition, the time duration of relief can vary vastly from few days to few months and even more than a year. Some complications have also been observed in a few cases with this treatment for tarlov cyst or perineural cyst.

Surgical methods involving removal of tarlov cyst or perineural cyst are adopted in most cases of symptomatic tarlov cyst or perineural cyst with great results. Some experts feel surgical methods are the best as they offer permanent and assured solution without side effects whereas others are not very much in agreement with this thought. The use of surgical methods depends upon various factors like age and health of individual size of the connection between the tarlov cyst or perineural cyst and the subarachnoid space, the range of nerve root compression and progression of the tarlov cyst or perineural cyst.

The adoption of surgical methods in any particular case of tarlov cyst or perineural cyst is finalized only after the through consultation between the doctors and experts and with the willingness of the tarlov cyst or perineural cyst patient. While making the final decision, all the potential risks and benefits are analyzed and discussed with the patient.

In case of large tarlov cyst or perineural cyst, surgical methods are the only options available which involves removal of CSF and then eliminating the tarlov cyst or perineural cyst. In another type of surgery, the vertebral bone covering the tarlov cyst or perineural cyst is first removed carefully and then slicing through one or more holes to drain out CSF. In the final step after the removal of fluid, the cyst wall is collapsed and then sealed.

There is one more surgical method for tarlov cyst or perineural cyst, in which a muscle flap is used to fill the hollow part of the cyst after letting the CSF to drain out completely. This is done to ensure that CSF cannot refill the sac. Muscle flap is special type of tissue present in our body, which can be easily transferred to any of the surrounding part of the body keeping the blood vessels connected. However, it is a risky process and cannot show positive results in case of any prior nerve damage which cannot be reversed.

Surgery Outcome for Tarlov Cyst or Perineural Cyst

Surgical methods for tarlov cyst or perineural cyst are not completely safe and may results in complications in some cases. The most common problem that can happen after the surgery is the leakage of the CSF. However, it may heal by itself. Patients with tarlov cyst or perineural cyst must take proper bed rest after surgery with the lower portion of the bed a bit elevated. To avoid swelling, corset is advised. In some cases, there is also a risk of being infected with bacterial meningitis. The worst thing possible case is of failure of surgery, which is again very rare. However, it is possible, which may cause the symptoms to get more pronounced and painful or even result in some new symptoms.

The last option in case none of the treatments work is to make a suitable strategy to cope up with the pain and symptoms by making necessary changes in the lifestyle. This can be planned with the help of a good physician or experts. Many support groups help such people to cope with the pain caused by tarlov cyst or perineural cyst and lead a good life.

Recovery Period/Healing Time for Tarlov Cyst or Perineural Cyst

The recovery/healing time for tarlov cyst or perineural cyst can vary from person to person and depends on the type of therapy you are taking. Hence, it is impossible to define a fixed recovery time in case of tarlov cyst or perineural cyst. Your doctor is the best person who can tell you about the recovery time and solve your queries.

Risk Factors for Tarlov Cyst or Perineural Cyst

Statistics and figures suggest that women are more prone and are at risk to tarlov cyst or perineural cyst as compared to men. The exact figure of the people suffering from tarlov cyst or perineural cyst cannot be determined as it is highly asymptomatic which makes it hard to diagnose. According to the best possible estimations, about 4.6 to 9 percent people of the total population are suffering from tarlov cyst or perineural cyst.

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Written, Edited or Reviewed By:

, MD, FFARCSI

Last Modified On: May 16, 2016

Pain Assist Inc.

Pramod Kerkar
  Note: Information provided is not a substitute for physician, hospital or any form of medical care. Examination and Investigation is necessary for correct diagnosis.

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