Such cysts are perineural cysts that are located mainly in the sacral zone. In this type of the cyst, the dorsal nerve root is encased. As an accidental discovery, the object is infrequently found. These are sacs filled with cerebrospinal fluid ( CSF) that are detected in cross-sectional imaging modalities, especially in magnetic resonance imaging ( MRI). We present a set of seven cases in which these perineural cysts have been detected during routine lumbosacral spine imaging. Many of these patients underwent lumbosacral spine magnetic resonance imaging ( MRI) for backache or any other pelvic problems. Computerized tomography ( CT) myelography also assisted in diagnosis and bone remodelling linked to cysts in one event. Three patients were found to be symptomatic and the size and position of the cysts corresponded to the severity of the complaints. In three of our instances, the underlying formation of these entities was also matched by etiopathogenesis. As the size of these cysts was minimal and did not lead to patient problems, four patients were asymptomatic. MRI is the best way of diagnosing these perineural cysts that are responsible for multiple forms of myelopathies. In non-contrast MRI studies, T2WI sequences are the best way to delineate the scale, shape, outline and position of these cysts. This further elaborates their expansion to the surrounding regions as well. To search for further morphological characteristics of these cysts, MR myelography is adjuvant.
Author (s) Details
B. B. Sharma
Department of Radio-Diagnosis, SGT Medical College, Gurugram, Haryana 122505, India.
Dr. Tanu Singh
Department of Radio-Diagnosis, SGT Medical College, Gurugram, Haryana 122505, India.
Meghna Varma
Department of Radio-Diagnosis, SGT Medical College, Gurugram, Haryana 122505, India
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