I had the same issue as you did. I found out that my anti virus (Bitdefender Total Security 2018) was blocking simcity.exe from making changes to a protected file. After allowing it, I am able to create regions. I would check your anti virus to see if it is blocking the game from making said changes. Hope this helps.
Note: I was having this issue for single player. If this happens in multi player, I am not sure of the cause/solution to that I am afraid.
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Re: Can´t create region?
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