alexa An Epidurogram During Fluoroscopy-Guided Caudal Epidura
ISSN: 2165-7939

Journal of Spine
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Case Report

An Epidurogram During Fluoroscopy-Guided Caudal Epidural Reveals an Asymptomatic Tarlov Cyst in a Patient with Lumbar Radicular Pain: A Case Report

Revuelta M*, Bausili M, Melo M and Catala E

Pain Unit, Anesthesia Department, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Spain

*Corresponding Author:
Revuelta M
Pain Unit, Anesthesia Department
Hospital de la Santa Creu i Sant Pau. Universidad Autónoma de Barcelona
Pain Unit (Anesthesia Department)
Mas Casanovas 90
08025 Barcelona, Spain
Tel: +34 606725166
Fax: +34 935537141
E-mail: [email protected]

Received date: June 03, 2016; Accepted date: June 07, 2016; Published date: June 09, 2016

Citation: Revuelta M, Bausili M, Melo M, Catala E (2016) An Epidurogram During Fluoroscopy-Guided Caudal Epidural Reveals an Asymptomatic Tarlov Cyst in a Patient with Lumbar Radicular Pain: A Case Report . J Spine 5:309. doi:10.4172/2165-7939.1000309

Copyright: © 2016 Revuelta M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Objective: Tarlov cysts are cerebrospinal fluid dilatations of the nerve root sheath at the dorsal root ganglion level. We report the incidental finding of a Tarlov cyst during a fluoroscopy-guided caudal epidural injection in a patient with acute lumbar radicular pain due to disc herniation.

Case report: A 76-year-old male was scheduled for an epidural steroid injection (ESI) for acute L5 radicular pain caused by a paracentral disc nucleous pulposus herniation. The ESI was administered via a caudal route because the patient had back surgery at the L3-L4 for Mal de Pott tuberculoses when he was 23-years old. The epidurogram revealed a fusiform image at the sacral level and the procedure was stopped. Afterwards, an MRI showed a sacral cyst of 50 × 18 mm and a left paracentral disc herniation at L4-L5 with L5 root compression.

Conclusion: The use of fluoroscopy with epidurogram during a caudal ESI allowed us to confirm epidural needle placement and to observe the cephalic flow of contrast medium into the level and side to treat. Without fluoroscopy, we would not have found this asymptomatic Tarlov cyst.


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