Teaching NeuroImages: intraneural ganglion cyst of the tibial nerve.
نویسندگان
چکیده
A 59-year-old man with knee arthritis suddenly developed left posterior thigh pain and complete paralysis of his foot. EMG/nerve conduction studies localized the lesion to the distal sciatic nerve in the thigh (absent motor units from the short head of biceps femoris but normal vastus lateralis). Imaging demonstrated an intraneural ganglion cyst in the tibial nerve extending up to the sciatic nerve (figure 1), which was resected (figure 2). Synovial fluid escaped from a capsular defect, tracking up a tibial articular branch of the sciatic nerve, causing secondary compression of the peroneal division. Figure 1 MRI of left femur with intraneural ganglion cyst involving tibial nerve
منابع مشابه
Teaching NeuroImages: recurrence of a sural intraneural ganglion cyst after sural nerve resection.
متن کامل
A rare case of intraneural ganglion cyst involving the tibial nerve.
Cystic lesions around the knee are a relatively common occurrence. Several types of cysts have been reported, including synovial, bursal, and ganglion. Ganglion cysts are not lined by synovial cells. Their location is highly variable, with occurrences described in the fat pads near the tibia or femur, muscles, nerves, and arteries. Intraneural ganglia are rare nonneoplastic cysts caused by the ...
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Peroneal nerve entrapment is most commonly seen in the popliteal fossa. It is rarely caused by a ganglion. Intraneural ganglia, although uncommon and seldom cause serious complications, are well recognized and most commonly affect the common peroneal (lateral popliteal) nerve. Ganglionic cysts developing in the sheath of a peripheral nerve or joint capsule may cause compression neuropathy. The ...
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Intraneural ganglion cysts are nonneoplastic, mucinous cysts within the epineurium of peripheral nerves which usually involve the peroneal nerve at the knee. A 37-year-old female presented with progressive left buttock and posterior thigh pain. Magnetic resonance imaging revealed a sciatic nerve mass at the sacral notch which was subsequently revealed to be an intraneural ganglion cyst. An intr...
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ورودعنوان ژورنال:
- Neurology
دوره 82 20 شماره
صفحات -
تاریخ انتشار 2014