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Why can't you just drain a perineural cysts?

Updated: 8/19/2019
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13y ago

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Although using a needle to drain fluid from perineural cysts can temporarily relieve their accompanying symptoms, eventually the cysts will refill with cerebrospinal fluid and the symptoms will recur

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Q: Why can't you just drain a perineural cysts?
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What are Multiple perineural cysts?

This is a very rare problem, and involves the sacral nerve sheathes. As the spinal nerves leave the head, they are encased in a 3-layer covering (which is an extension of the covering of the brain). As each nerve exits the spinal cord, it is encased in this covering called a "sheath". Fluid flows inside this "sheath", and helps protect the nerve as well as nourishing it. In the sacrum --the area at the bottom of the spine that is connected to the pelvis (just above the crack in your buttocks)-- the nerves are also encased in a sheath, and in many people these "sheathes" can balloon from being over-filled with spinal fluid. Most of the time this ballooning of the sheath doesn't hurt anything; however, in a very rare patient, these ballooning sheathes can be so numerous & severe, that pressure is placed of adjacent nerves, causing abnormal numbness and even weakness and pain. Because it occurs in the sacrum, and is extemely rare, it is difficult to diagnose (difficult to see within the bone). And because it is extremely difficult to get to, surgery is rarely considered. If you Google "perineural cysts", you'll find a lot of good information...


What is the prognosis for perineural cysts?

It depends on the type of cyst. I know that some cysts will eventually just burst and go away. When they burst, there is a high likelihood that it will cause pain and a dark red discharge. This is something that needs to be discussed with your OBGYN for a better understanding.


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