Fig 1.Magnetic resonance imaging( T2W axial and sagittal section) showing

tarlov cyst at S2-S5 level

The patient underwent S2-S4 laminotomy using a Piezo drill. The cyst was exposed, which was then followed by fenestration of the cyst with plugging of the communicating part(fig 2). Cyanoacrylate glue was used to reinforce the plugging. Laminoplasty was then done using mini plates and screws. The symptoms gradually improved after the surgery, and she was discharged on the 5^th postoperative day.