[Spinal cysts : Diagnostic workup and therapy]

Radiologe. 2018 Feb;58(2):113-119. doi: 10.1007/s00117-017-0350-8.
[Article in German]


Clinical issue: Spinal cysts can be classified as meningeal, not meningeal, and tumor-associated cysts. Due to the widespread availability of high-resolution computed tomography and magnet resonance imaging, spinal cysts can be detected with high sensitivity these days. Concerning the variety of potential cystic differential diagnoses, a precise classification is difficult and can often only be realized after surgical inspection or histological examination.

Practical recommendations: Spinal cysts are generally incidental findings during a routine diagnostic workup and need no further therapy. Surgical treatment can be necessary if the spinal cyst reaches a certain size and causes neurological symptoms due to the compression of the spinal cord or the nerve root.

Keywords: Arachnoid cyst; Diagnostic imaging; Perineural cyst; Synovial cyst; Tarlov cyst.

Publication types

  • Review

MeSH terms

  • Cysts* / diagnosis
  • Cysts* / therapy
  • Diagnosis, Differential
  • Humans
  • Magnetic Resonance Imaging*
  • Spinal Cord
  • Spinal Diseases* / diagnosis
  • Spinal Diseases* / therapy
  • Tomography, X-Ray Computed