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Sağlık Bakanlığı, Ankara Hastanesi, Nöroşirürji Kliniği, Ankara We are presenting 10 cases of sacral perineural cysts, all diagnosed by magnetic resonance imaging (MRI). Neurological deficit attributable to the cyst was detected in only one of the cases. Sacral erosion and enlargement of sacral spinal canal were common findings in all cases. Presence of neurological deficit was regarded as a criterion for surgery and neither the changes in sacral bone nor the number and size of the cysts were accepted as indicators for surgery. Surgical treatment was applied in only one patieht that had neurological deficit. Asymptomatic cases received medical treatment and the results were considered to be satisfactory Anahtar Kelimeler : Sacral perineural cysts, Magnetic resonance imaging