2025 · Indonesia
Tarlov CystMicrosurgical ExcisionImbricationNerve Root Decompression
This case report details the successful treatment of a symptomatic sacral Tarlov cyst causing severe pain. Surgeons performed microsurgical partial excision and wall imbrication to decompress the nerve root and prevent CSF leakage. The patient experienced total pain relief and complete functional recovery over a one-year follow-up.
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2025 · Japan
Giant Tarlov CystSurgical LigationPresacral CystAnterior Tarlov Cyst
This case report describes surgical management of a giant Tarlov cyst. A 29-year-old woman with infertility, low back pain, and constipation was found to have an 11 cm giant pelvic cyst originating from the left S3 nerve root.
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2025 · China
Failed Tarlov SurgeryRecurrent Tarlov CystMicrosurgical Reinforced Radiculoplasty
This study evaluates the safety and clinical efficacy of microsurgical reinforced radiculoplasty for treating patients with symptomatic, recurrent sacral Tarlov cysts following failed initial operations.
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2024 · Canada
Fibrin GlueAspirationAFGIMurphyFibrin Sealant
Women are disproportionately affected by Tarlov Cysts often presenting with long-standing pain and neurological dysfunctions. Significant gender bias has been a concern in the management of these patients.
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2024 · USA
FeigenbaumSchrotWrappingExcisionImbrication
Cyst-wrapping surgery may offer the best long-term outcomes by reducing cyst size, protecting nerve fibers, and potentially promoting nerve regeneration and improved sacral nerve function.
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2024 · USA
FeigenbaumSurgeryPositive Outcome
In a study of 144 Tarlov cyst patients, over 80% reported significant improvement in quality of life one year after surgery, regardless of age or how long they had symptoms. Patients were considered to have a large cyst at the 1.5cm threshold.
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2024 · China
Large CystSurgeryResorbable Membrane Patch
This case report presents a 55-year-old male with a giant symptomatic sacral Tarlov cyst who experienced significant pain relief following laminectomy and microsurgical cyst excision.
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2024 · China
Yang Li
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2024 · Italy/Switzerland
AFGIAspirationInjectionFoot Drop
40-year-old female presented with the 2-year onset of a partial left foot drop attributed to an L5 Tarlov cyst. Following a CT-guided percutaneous trans-sacral fibrin glue intracystic injection, the cyst largely resolved, and the patient became asymptomatic.
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2024 · China
Sacral LaminoplastyFat PackingEndoscopeMuscle GraftPlug
Using a 30-degree neuroendoscope, the communication point with the subarachnoid space is identified and sealed with a muscle graft and fibrin glue, followed by autologous fat placement in the remaining cavity to prevent cerebrospinal fluid re-accumulation.
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2024 · Japan
WrappingMicrosurgical WrappingTitanium Clips
The authors conclude that while microsurgical wrapping effectively relieves adjacent nerve root compression, pre-existing, severe nerve root damage within large cysts remains a key limitation for complete symptom recovery in all Tarlov cyst surgeries
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2024 · Japan
Scar TissueAdhesionsCT Myelography
Symptomatic cysts often feature a narrow neck or a ball-valve mechanism that hinders rapid contrast dye entry, a pattern readily identified on delayed CT myelography. Releasing the underlying neural adhesions (scar tissue) at the neck using microsurgical fenestration may effectively resolve symptoms and prevents recurrence.
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2024 · Nepal/India
20%Conservative Treatment
63 year old with 1.2 cm Tarlov Cyst causing worsening lower back and left buttock pain radiating down her left leg, along with sharp shooting discomfort, toe numbness and tingling, and a slightly reduced left ankle jerk reflex, all of which were exacerbated by walking, standing, coughing, or climbing stairs. Tarlov cysts are uncommon and underdiagnosed, with notable complexities in diagnosis and management.
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2024 · Turkey
AnteriorPresacralGiant
37 year old woman with a large cyst groing into the anterior or presacral space.
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2024 · China
OstiumWide neckNarrow neck
This study proposes a new subtype classification system and corresponding surgical strategies for Spinal Dural Cysts (Arachnoid Cysts, extradural meningeal cyst, wide & narrow neck Tarlov Cysts. They suggest closing the TC neck (ostium) with autologous fat graft & fibrin glue.)
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2024 · China
Meningeal DiverticulaMD CystDr.SunExtradural
This study discusses an MRI technique (arbitrary-dimensional nerve root reconstruction magnetic resonance imaging) to identify the ostium where cerebral spinal fluid is leaking into Meningeal Diverticulum cysts (without nerve roots inside)
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2024 · Greece
SteroidsShort-term follow upCase Study
56-year-old female patient with symptomatic Cervical Tarlov cysts C6–C7 & C7-T1 treated conservatively with a 14-day tapering course of oral corticosteroids. EMG showed reduced recruitment of the triceps and extensor digitorum communis with no automatic activity, indicating possible acute C7 nerve root damage. Symptomatic cervical perineural cysts are exceedingly rare.
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2023 · Pakistan
Observational Research
60 patients evaluated for Tarlov Cysts to examine how the location and size of lumbosacral Tarlov cysts—as visualized on MRI scans—correlate with specific neurological symptoms.Tarlov Cyst symptoms may include sacral and lumbar pain, sciatica, coccydynia, numbness, and leg weakness
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2024 · China
Despite sacral Tarlov cysts severely impacting patient quality of life, comprehensive quantitative analyses mapping the evolution and current direction of global research on this neurological condition have historically been lacking. Researchers analyzed 930 studies published between 2000 and 2022 to map global research trends, major contributors, and emerging clinical focuses in sacral Tarlov cyst research.
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2024 · Germany
Retrospective study evaluated whether combining thecaloscopy (endoscopic arachnoid sheath fenestration) with traditional microsurgical resection reduces the recurrence of symptomatic sacral Tarlov cysts in 78 patients. The authors found that adding thecaloscopy significantly lowered cyst recurrence to 10.4% compared to 30% for those receiving microsurgical resection alone, while maintaining a low complication rate.
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2024 · Tunisia
Case ReportConservative Treatment
Case report details a man in his 70s presenting with chronic back pain and worsening bilateral thoracic radiculopathy caused by rare, giant bilateral thoracic Tarlov cysts.
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2023 · USA
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2023 · Pakistan
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2023 · USA
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2023 · Malaysia
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2023 · Finland
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2023 · USA
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2023 · USA
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2023 · China
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2023 · USA
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2023 · India
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2022 · China
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2022 · India
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2022 · China
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2022 · China
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2022 · Bangladesh
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2022 · France
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2022 · USA
Editorial commentators Porche and Hoh raise concerns regarding strictness of surgical selection criteria, missing diagnostic predictors, potential cohort biases, and a lack of standardized outcome measures in the original study by Chu et al. In response, Chu et al. defend their clinical approach, detail their rigorous screening process to rule out alternative pathologies, and acknowledge the necessity for prospective, multicenter trials to establish standardized treatment protocols.
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2022 · China
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2022 · Germany
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2022 · China
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2021 · Turkey
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2021 · Canada
22%
The prevalence of Tarlov Custs is 1.5–4.6% of which 22% were symptomatic with a female preponderance. A systematic review and meta-analysis evaluating the clinical efficacy and safety of open surgical intervention for patients with symptomatic Tarlov cysts (TCs).
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2021 · Malaysia
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2021 · Malaysia
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2021 · Japan
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2021 · Poland
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2021 · India
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2021 · China
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2021 · Spain
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2021 · Germany
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2020 · USA
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2020 · India
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2020 · South Korea
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2020 · China
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2019 · Belgium
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2019 · USA
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2019 · South Korea
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2019 · USA
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2019 · Sweden
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2019 · Serbia
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2019 · France/Morocco
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2018 · China
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2018 · Mauritania
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2018 · Canada
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2018 · Japan
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2018 · Sweden
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2018 · USA
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2018 · China
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2018 · China
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2017 · USA
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2017 · UAE
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2017 · USA
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2017 · Bangladesh
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2017 · UK
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2017 · China
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2016 · China
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2016 · China
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2016 · Canada/USA
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2016 · Germany
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2016 · USA
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2016 · India
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2015 · India
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2014 · Korea
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2014 · Argentina
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2013 · China
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2013 · Italy
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2012 · India
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2012 · Japan
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2011 · Japan
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2011 · China/USA
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2011 · USA
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2011 · Germany
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2010 · Japan
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2010 · USA
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2009 · Korea
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2008 · Korea
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2003 · USA
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2001 · USA
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2026 · Japan
Pudendal NeuralgiaChronic Pelvic PainPGAD
A 52-year-old woman with perineal pain that had been occurring for the past 6 months. MRI revealed a left S2 Tarlov cyst measuring 11–15 mm. The pudendal neuralgia was determined to be due to compression of the adjacent S3, and only bony decompression of the Tarlov cyst was performed.
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2026 · China
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2026 · USA
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2025 · Canada
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2025 · UK
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2025 · India
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2024 · Turkey
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2023 · USA
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2023 · USA
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2022 · USA
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2022 · Japan
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2021 · USA
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2020 · Italy
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2020 · USA
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2018 · USA
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2017 · USA
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2017 · UK
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2017 · USA
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2015 · USA
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2014 · Canada
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2014 · USA
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2012 · USA
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2012 · USA
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2023 · UK/France
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2018 · Belgium
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2017 · Belgium
EMGNCSNerve Conduction StudyDiagnostic
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2016 · Belgium
EMGNCSNerve Conduction StudyDiagnostic
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2013 · Turkey
Diagnostic
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2001 · Italy
ElectromyographyEMGNCSNerve Conduction Study
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2025 · Belgium
PGADNeuropathic PainhEDSCerebrospinal fluid pressurePersistent Genital Arousal Disorder
Tarlov Cysts can be associated with elevated spinal fluid pressure within the nerve root sheath. Elevated pulsatile CSF underlies the formation of TCs at the dorsal root ganglion and may gradually contribute to small-fiber dysfunction by irritating, compressing and damaging small nerve fibers within the dorsal root ganglion.
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2024 · United Kingdom
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2023 · Korea
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2023 · Tunisia
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2023 · Taiwan
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2022 · Belgium
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2022 · Canada
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2022 · Japan
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2022 · India
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2022 · USA
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2021 · Japan
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2021 · Belgium
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2021 · Turkey
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2020 · South Korea
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2021 · South Korea
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2020 · USA
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2019 · Taiwan
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2019 · Greece
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2019 · South Korea
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2019 · Belgium
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2018 · Belgium
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2017 · USA
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2017 · USA
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2017 · Canada
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2017 · United Kingdom
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2015 · Serbia
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2006 · USA
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