Thecaloscopy Reduces the Risk of Recurrent Perineural (Tarlov) Cysts after Microsurgical Resection
Abstract
:1. Introduction
2. Patients and Methods
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Recurrent cyst | |||||
∑ | Yes | No | |||
N (% column) | N (% row) | N (% row) | p-value | ||
Thecaloscopy | Yes | 48 (61.5) | 5 (10.4) | 43 (89.6) | 0.0368 |
No | 30 (38.5) | 9 (30.0) | 21 (70.0) | ||
∑ | 78 | 14 (17.9) | 64 (82.1) |
∑ | Thecaloscopy | No Thecaloscopy | p-Value | Recurrent Cyst | No Recurrent Cyst | p-Value | |||
---|---|---|---|---|---|---|---|---|---|
N (%) | N (%)/Mean ± SD | N (%)/Mean ± SD | N (%)/Mean ± SD | N (%)/Mean ± SD | |||||
Demographic information | |||||||||
Age [years] | 78 | 48/50.0 ± 11.4 | 30/54.4 ± 9.0 | 0.077 | 14/53.1 ± 7.6 | 64/51.4 ± 11.3 | 0.590 | ||
Gender | 78 | ||||||||
female | 63 (80.8) | 38 (60.3) | 25 (39.7) | 0.772 | 10 (15.9) | 53 (84.1) | 0.453 | ||
male | 15 (19.2) | 10 (66.7) | 5 (33.3) | 4 (26.7) | 11 (73.3) | ||||
Height [cm] | 78 | 48/169.9 ± 7.3 | 30/179.6 ± 7.6 | 0.689 | 14/175.0 ± 7.2 | 64/169.2 ± 7.1 | 0.007 | ||
Weight [kg] | 78 | 48/66.8 ± 13.2 | 30/71.1 ± 13.8 | 0.168 | 14/73.4 ± 13.7 | 64/67.4 ± 13.4 | 0.136 | ||
Body mass index | 78 | 48/22.7 ± 3.7 | 30/23.9 ± 3.9 | 0.189 | 14/23.6 ± 3.5 | 64/23.1 ± 3.9 | 0.674 | ||
Clinical parameters | |||||||||
Symptoms duration [years] | 77 | 47/6.8 ± 9.9 | 30/2.5 ± 3.3 | 0.025 | 14/3.5 ± 4.5 | 63/5.5 ± 8.8 | 0.422 | ||
Pain level (VAS) | |||||||||
pre-OP | 78 | 48/8.0 ± 2.0 | 30/8.0 ± 1.3 | 0.960 | 14/8.4 ± 0.9 | 64/7.9 ± 1.9 | 0.420 | ||
Follow up | 78 | 48/4.5 ± 2.7 | 30/5.2 ± 2.7 | 0.280 | 14/6.4 ± 2.2 | 64/4.4 ± 2.7 | 0.010 | ||
Bladder or bowl dysfunction | 78 | ||||||||
Yes | 46 (59.0) | 29 (63.0) | 17 (37.0) | 0.815 | 5 (10.9) | 41 (89.1) | 0.072 | ||
No | 32 (41.0) | 19 (59.4) | 13 (40.6) | 9 (28.1) | 23 (71.8) | ||||
Dysesthesia | 78 | ||||||||
Yes | 59 (75.6) | 34 (57.6) | 25 (42.4) | 0.282 | 10 (16.9) | 49 (83.1) | 0.735 | ||
No | 19 (24.4) | 14 (73.7) | 5 (26.3) | 4 (21.1) | 15 (78.9) | ||||
Sexual dysfunction | 78 | ||||||||
Yes | 8 (10.3) | 5 (62.5) | 3 (37.5) | 1.000 | 2 (25.0) | 6 (75.0) | 0.629 | ||
No | 70 (89.7) | 43 (55.1) | 27 (44.9) | 12 (17.1) | 58 (82.9) | ||||
Symptoms after surgery | 78 | ||||||||
Improved | 55 (70.5) | 35 (63.6) | 20 (36,4) | 0.582 | 5 (9.1) | 50 (90.9) | 0.006 | ||
Equal | 18 (23.1) | 11 (61.1) | 7 (38.9) | 7 (41.2) | 10 (58.8) | ||||
Worsened | 5 (6.4) | 2 (40.0) | 3 (60.0) | 2 (33.3) | 4 (66.7) | ||||
Residual symptoms | |||||||||
Yes | 63 (80.8) | 37 (58.7) | 26 (41.3) | 0.383 | 11 (17.5) | 52 (82.5) | 1.000 | ||
No | 15 (19.2) | 11 (73.3) | 4 (26.7) | 3 (20.0) | 12 (80.0) | ||||
Cyst characteristics | |||||||||
Number | 78 | 48/2.1 ± 1.2 | 30/2.6 ± 1.6 | 0.143 | 14/2.9 ± 1.5 | 64/2.2 ± 1.3 | 0.103 | ||
Size [mm] | |||||||||
max | 75 | 47/23.0 ± 15.2 | 28/26.3 ± 14.0 | 0.357 | 14/25.9 ± 8.0 | 61/23.0 ± 16.0 | 0.637 | ||
mean | 75 | 47/20.0 ± 15.8 | 28/22.3 ± 16.4 | 0.592 | 14/18.4 ± 6.0 | 61/21.3 ± 17.1 | 0.136 | ||
Bilateral | 78 | ||||||||
Yes | 34 (43.6) | 26 (76.5) | 8 (23.5) | 0.020 | 13 (27.1) | 35 (72.9) | 0.002 | ||
No | 44 (56.4) | 22 (50.0) | 22 (50.0) | 1 (3.3) | 29 (96.7) | ||||
Multisegmental | 77 | ||||||||
Yes | 43 (55.8) | 24 (55.8) | 19 (44.2) | 0.238 | 10 (23.3) | 33 (76.7) | 0.129 | ||
No | 34 (44.2) | 24 (70.6) | 10 (29.4) | 4 (11.8) | 31 (88.2) | ||||
Bone erosion | 78 | ||||||||
Yes | 54 (43.6) | 37 (68.8) | 17 (31.5) | 0.078 | 8 (14.8) | 46 (85.2) | 0.342 | ||
No | 24 (56.4) | 11 (45.8) | 13 (54.2) | 6 (25.0) | 18 (75.0) |
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Luchtmann, M.; Klammer, A.; Iova, M.-A.; Roth, A.; Chanamolu, V.K.; Mawrin, C.; Warnke, J.-P. Thecaloscopy Reduces the Risk of Recurrent Perineural (Tarlov) Cysts after Microsurgical Resection. Neurol. Int. 2024, 16, 450-458. https://doi.org/10.3390/neurolint16020033
Luchtmann M, Klammer A, Iova M-A, Roth A, Chanamolu VK, Mawrin C, Warnke J-P. Thecaloscopy Reduces the Risk of Recurrent Perineural (Tarlov) Cysts after Microsurgical Resection. Neurology International. 2024; 16(2):450-458. https://doi.org/10.3390/neurolint16020033
Chicago/Turabian StyleLuchtmann, Michael, Angelika Klammer, Mircea-Alin Iova, André Roth, Vijay Kumar Chanamolu, Christian Mawrin, and Jan-Peter Warnke. 2024. "Thecaloscopy Reduces the Risk of Recurrent Perineural (Tarlov) Cysts after Microsurgical Resection" Neurology International 16, no. 2: 450-458. https://doi.org/10.3390/neurolint16020033