Tarlov or perineural cysts are nerve root cysts that are predominantly regarded as asymptomatic incidental feature of CT and MRI. However, as indicated in our case report, it may cause a variety of neurologic and urologic symptoms along with back pain. We report here a case of a 27-year-old female who presented with bilateral radiculopathy for six months. Patient underwent imbrication with laminectomy procedure and had an uneventful recovery, suggesting that such cysts and the presence of associated radicular symptoms strongly correlate with excellent outcome after surgery.