With technological advancements and wider availability of multimodality imaging, 
incidental lesions are frequently identified in patients undergoing various 
imaging studies. We report here a case of multiloculated disseminated perineural 
or Tarlov cysts (TCs). The primary aim of our study was to (1) provide a 
comprehensive review of the clinical, imaging and histopathological features of 
TCs (2) to draw attention to the fact that multiple lumbo-sacral and dorsal TCs 
can produce nerve injuries and serious movement disturbances (3) to document the 
usefulness of the magnetic resonance imaging (MRI) and bone scan in noninvasive 
diagnosis and guiding management in such cases. These cysts are clearly 
identified by MR and computerized tomography imaging of the lumbosacral spine. 
However, there are no reports on the scintigraphic findings of TCs in 
literature. TCs are typically benign, asymptomatic lesions that can simply be 
monitored. Until date, no consensus exists about the best surgical strategy to 
be followed for their management.