Unilateral Thoracic Pain and Incontinence | oneedsvoice

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Unilateral Thoracic Pain and Incontinence

key information

source: New England Journal of Medicine

year: 2013

authors: Sara Fazio


In the latest Case Record of the Massachusetts General Hospital, a 77-year-old woman sought neurosurgical and neurologic consultation because of a long history of left thoracic pain, for which no cause or effective treatment had been found. Review of imaging studies revealed multiple perineurial cysts in the thoracic spine.

Tarlov or perineural cysts were first characterized in 1938 by the neurosurgeon Isadore M. Tarlov during an autopsy of the lower spine. He identified them as fluid collections in the nerve-root membranes that have restricted communication with the cerebrospinal fluid in the thecal sac.

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