title: Conservative management of perineural cysts.
abstract: METHODS
  A case series and literature review are presented.
  
  
  OBJECTIVE
  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.
  
  
  BACKGROUND
  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.
  
  
  METHODS
  We present a case series symptomatic perineural cysts.
  
  
  RESULTS
  Patients with lumbar and cervical perineural cysts were treated successfully with oral and epidural steroid therapy.
  
  
  CONCLUSIONS
  Steroid therapy may offer a nonsurgical alternative for the treatment of symptomatic perineural cysts.
authors.affiliation: Stanford Interventional Spine Center, Department of Orthopedic Surgery, Stanford University School of Medicine, Palo Alto, CA 94305, USA. rmitra@stanford.edu
authors.forename: Raj
authors.initials: R
authors.lastname: Mitra
authors.forename: Dhiruj
authors.initials: D
authors.lastname: Kirpalani
authors.forename: Matthew
authors.initials: M
authors.lastname: Wedemeyer
mesh_terms: D000328:Adult; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D052958:Tarlov Cysts / Q000175:diagnosis* / Q000628:therapy*