Sacral perineural cysts: imaging and treatment options

Area of Science:

• Neurology
• Radiology
• Neurosurgery

Background:

• Perineural cysts are uncommon radiological findings.
• They rarely cause symptoms like radicular leg pain.

Observation:

• A patient presented with radicular leg and perineal pain.
• Multiple sacral perineural cysts were identified as the cause.

Findings:

• The study explores diagnostic and treatment options for perineural cysts.
• Percutaneous fine-needle cyst drainage is discussed as a predictor of surgical success.

Implications:

• This case highlights the importance of considering perineural cysts in patients with unexplained radicular pain.
• Effective management strategies, including surgical intervention and management of complications like pseudomeningocoele, are discussed.