<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1578-2549</journal-id>
<journal-title><![CDATA[Archivos de Prevención de Riesgos Laborales]]></journal-title>
<abbrev-journal-title><![CDATA[Arch Prev Riesgos Labor]]></abbrev-journal-title>
<issn>1578-2549</issn>
<publisher>
<publisher-name><![CDATA[Societat Catalana de Salut Laboral y Asociación de Medicina del Trabajo de la Comunidad Valenciana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1578-25492025000200044</article-id>
<article-id pub-id-type="doi">10.12961/aprl.2025.28.02.04</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Coexistencia en el curso clínico de un quiste de Tarlov, neuropatía del pudendo y lipomatosis pélvica en una lesión por accidente de tráfico in itinere: un informe de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Coexistence of a Tarlov cyst, pudendal neuropathy, and pelvic lipomatosis in the clinical course of a traffic-related injury while commuting: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galiano-Gómez]]></surname>
<given-names><![CDATA[Yanet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Deryagina]]></surname>
<given-names><![CDATA[Dina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jardí-Lazaro]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Alvarado]]></surname>
<given-names><![CDATA[F. Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olivan-Pascual]]></surname>
<given-names><![CDATA[Yolanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pumarola-Segura]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Martínez]]></surname>
<given-names><![CDATA[José Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A8"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,MC Mutual, Centro asistencial Sant Cugat del Vallès  ]]></institution>
<addr-line><![CDATA[Sant Cugat del Vallès ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,MC Mutual, Centro asistencial Mollet del Vallès  ]]></institution>
<addr-line><![CDATA[Mollet del Vallès ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,MC Mutual, Centro asistencial Montornès del Vallès  ]]></institution>
<addr-line><![CDATA[Montornès del Vallès ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,MC Mutual, Centro asistencial Molins de Rei  ]]></institution>
<addr-line><![CDATA[Molins de Rei ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,MC Mutual, Centro asistencial Girona  ]]></institution>
<addr-line><![CDATA[Girona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,MC Mutual, Departamento Control de Gestión Sanitaria  ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidad de Alicante Grupo de Investigación en Salud Pública ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,University of Alberta School of Public Health ]]></institution>
<addr-line><![CDATA[Edmonton ]]></addr-line>
<country>Canada</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>28</volume>
<numero>2</numero>
<fpage>44</fpage>
<lpage>49</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1578-25492025000200044&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1578-25492025000200044&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1578-25492025000200044&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta el caso de una trabajadora que sufrió un accidente de tráfico in itinere y consultó por dorsolumbalgia de evolución tórpida. Durante su seguimiento se diagnosticaron progresivamente patologías poco frecuentes, como son el quiste de Tarlov, la neuropatía del pudendo y la lipomatosis pélvica. Estas tres condiciones, que afectan el área pélvica, causaron dolor, disfunción nerviosa y alteraciones anatómicas, derivando en una incapacidad progresiva. Aunque el quiste de Tarlov fue descartado como causa principal, la neuropatía del pudendo y la lipomatosis explicaron la clínica. A pesar del tratamiento médico, la paciente evolucionó hacia una incapacidad permanente absoluta, reconocida judicialmente. Este caso ilustra cómo un accidente inicialmente considerado leve puede desencadenar una evolución clínica grave.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This case report presents a worker who sustained a traffic accident while commuting, and was then seen in clinic for thoracolumbar pain with a torpid evolution. During follow-up, rare pathologies were progressively diagnosed: a Tarlov cyst, pudendal neuropathy, and pelvic lipomatosis. These three conditions, all affecting the pelvic region, led to pain, neurological dysfunction, and anatomical alterations, leading to a progressive disability. Although the Tarlov cyst was ruled out as the main cause, the pudendal neuropathy and pelvic lipomatosis accounted for the clinical manifestations. Despite medical treatment, the patient evolved toward absolute permanent disability, later recognized by judicial ruling. This case highlights how a traffic accident initially classified as minor can lead to severe, complex clinical outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[incapacidad temporal]]></kwd>
<kwd lng="es"><![CDATA[incapacidad permanente]]></kwd>
<kwd lng="es"><![CDATA[quiste de Tarlov]]></kwd>
<kwd lng="es"><![CDATA[lipomatosis pélvica]]></kwd>
<kwd lng="es"><![CDATA[neuropatía del pudendo]]></kwd>
<kwd lng="en"><![CDATA[sick leave]]></kwd>
<kwd lng="en"><![CDATA[permanent disability]]></kwd>
<kwd lng="en"><![CDATA[Tarlov cysts]]></kwd>
<kwd lng="en"><![CDATA[pelvic lipomatosis]]></kwd>
<kwd lng="en"><![CDATA[pudendal neuropathy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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