Conservative management of perineural cysts.

Abstract

A case series and literature review are presented. To review relevant data for the management of perineural cysts, and present a case series of 2 patient with symptomatic perineural cysts treated by steroid therapy. Perineural cysts are usually an incidental finding, but rarely may cause mechanical nerve root compression. Surgical treatments for perineural cysts are complicated by postoperative pseudomeningocoele and intracranial hypotension, and reoccurrence of the cyst. There are no reported nonsurgical treatments for perineural cysts. We present a case series symptomatic perineural cysts. Patients with lumbar and cervical perineural cysts were treated successfully with oral and epidural steroid therapy. Steroid therapy may offer a nonsurgical alternative for the treatment of symptomatic perineural cysts.