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Medicine in Images
Tarlov cyst and involuntary movements
Quistes de Tarlov y movimientos involuntarios
E. Casas
Corresponding author
elena.caspe@gmail.com

Corresponding author.
, S. Arnaiz, E. Cubo
Servicio de Neurología, Hospital Universitario de Burgos, Burgos, Spain
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    "titulo" => "Tarlov cyst and involuntary movements"
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        "titulo" => "Quistes de Tarlov y movimientos involuntarios"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 78-year-old woman who complained of involuntary saccadic movements in the abdomen and the proximal region of the legs&#44; with no other abnormalities in the neurological examination&#46; Laboratory tests&#44; electromyogram and electroencephalogram were performed&#44; the results of which were normal&#46; Polysomnography revealed that these movements occurred during waking hours and during sleep&#44; ruling out a psychogenic origin&#46; Spinal magnetic resonance imaging showed several Tarlov cysts located at the nerve roots T10&#44; T12 and L1&#44; with no associated spinal abnormalities &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Anatomically&#44; when the nerve roots exit the medullary canal by the intervertebral foramina&#44; they are surrounded by a fibrous sheath in which the cerebrospinal fluid can accumulate&#44; forming Tarlov or perineural cysts&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Due to their cystic component&#44; the cysts radiologically present an intensity similar to that of cerebrospinal fluid and are hypointense in T1-weighted sequences and hyperintense in T2-weighted sequences&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The cysts are mostly &#40;70&#37;&#41; asymptomatic&#59; however&#44; if they grow&#44; they can compress the roots and cause symptoms&#46; In terms of the pathophysiology of the motor symptoms&#44; it is postulated that the lesions produce root excitability&#44; which is interpreted by the spine as an abnormal sensory signal&#44; subsequently stimulating the motor neurons&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Casas E&#44; Arnaiz S&#44; Cubo E&#46; Quistes de Tarlov y movimientos involuntarios&#46; Rev Clin Esp&#46; 2018&#59;218&#58;382&#8211;383&#46;</p>"
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Article information
ISSN: 22548874
Original language: English
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