Recurrent intraneural ganglion cyst of the tibial nerve

2000 ◽  
Vol 92 (2) ◽  
pp. 334-337 ◽  
Author(s):  
Robert J. Spinner ◽  
John L. D. Atkinson ◽  
C. Michel Harper ◽  
Doris E. Wenger
Keyword(s):  
Tibial Nerve ◽  
Ganglion Cyst ◽  
Symptomatic Relief ◽  
Proximal Tibiofibular Joint ◽  
Cell Of Origin ◽  
Intraneural Ganglion ◽  
Intraneural Ganglion Cyst ◽  
Content Type ◽  
Ganglion Cysts ◽  
Tibiofibular Joint

✓ Different theories have evolved to explain the pathogenesis and the cell of origin of intraneural ganglion cysts. Reportedly only three cases of intraneural ganglion of the tibial nerve have been located within the popliteal fossa, and all of these were thought to arise within the nerve. The authors report a case of a recurrent tibial intraneural ganglion in which a connection to the proximal tibiofibular joint was demonstrated on magnetic resonance (MR) images and at surgery. Surgical ligation of the articular branch and evacuation of the cyst led to symptomatic relief, and an MR image obtained 1 year after surgery documented no recurrence. This case reinforces the fact that surgeons need to consider and search for an articular connection in all cases of intraneural ganglia, especially in those that have recurred.

Tibial intraneural ganglia at the ankle and knee: incorporating the unified (articular) theory in adults and children

2011 ◽  
Vol 114 (1) ◽  
pp. 236-239 ◽  
Author(s):  
Gavin A. Davis ◽  
Ian H. Cox
Keyword(s):  
Clinical Utility ◽  
Tibial Nerve ◽  
Ganglion Cyst ◽  
Tarsal Tunnel ◽  
Intraneural Ganglion ◽  
Intraneural Ganglion Cyst ◽  
Articular Branch ◽  
Ganglion Cysts ◽  
Adults And Children ◽  
Articular Theory

Object The etiology of intraneural ganglia has been debated for centuries, and only recently a unifying theory has been proposed. The incidence of tibial nerve intraneural ganglia is restricted to the occasional case report, and there are no reported cases of these lesions in children. While evidence of the unifying theory for intraneural ganglia of the common peroneal nerve is strong, there are only a few reports describing the application of the theory in the tibial nerve. In this report the authors examine tibial nerve intraneural ganglia at the ankle and knee in an adult and a child, respectively, and describe the clinical utility of incorporating the unifying (articular) theory in the management of tibial intraneural ganglia in adults and children. Methods Cases of tibial intraneural ganglion cysts were examined clinically, radiologically, operatively, and histologically to demonstrate the application of the unified (articular) theory for the development of these cysts in adults and children. Results Two patients with intraneural ganglion cysts of the tibial nerve were identified: an adult with an intraneural ganglion cyst of the tibial nerve at the tarsal tunnel and a child with an intraneural ganglion cyst of the tibial nerve at the knee. In each case, preoperative MR imaging demonstrated the intraneural cyst and its connection to the adjacent joint via the articular branch to the subtalar joint and superior tibiofibular joint. At surgery the articular branch was identified and resected, thus disconnecting the tibial nerve intraneural cyst from the joint of origin. Conclusions These cases detail the important features of intraneural ganglion cysts of the tibial nerve and document the clinical utility of incorporating the unifying (articular) theory for the surgical management of tibial intraneural ganglia in adults and children.

Cystic degeneration of the tibial nerve: magnetic resonance neurography and sonography appearances of an intraneural ganglion cyst

2017 ◽  
Vol 46 (12) ◽  
pp. 1763-1767 ◽  
Author(s):  
Cláudio Régis Sampaio Silveira ◽  
Clarissa Gadelha Maia Vieira ◽  
Brenda Machado Pereira ◽  
Luiz Holanda Pinto Neto ◽  
Avneesh Chhabra
Keyword(s):  
Magnetic Resonance ◽  
Tibial Nerve ◽  
Ganglion Cyst ◽  
Cystic Degeneration ◽  
Intraneural Ganglion ◽  
Intraneural Ganglion Cyst ◽  
Magnetic Resonance Neurography

scholarly journals Ulnar Neuropathy due to Intraneural Ganglion Cyst of the Ulnar Nerve at the Elbow

2018 ◽  
Vol 07 (03) ◽  
pp. 260-264 ◽  
Author(s):  
Byung-chul Son ◽  
Jin-gyu Choi ◽  
Hak-cheol Ko
Keyword(s):  
Ulnar Nerve ◽  
Elbow Joint ◽  
Glenohumeral Joint ◽  
Ganglion Cyst ◽  
Ulnar Neuropathy ◽  
Intraneural Ganglion ◽  
Intraneural Ganglion Cyst ◽  
Articular Branch ◽  
Right Hand ◽  
Ganglion Cysts

AbstractIntraneural ganglion cysts are rare mucinous cyst originating within the epineurium of peripheral nerves. They occur most commonly in the peroneal nerve. However, they have also been described in many nerves in the vicinity of synovial joints. Intraneural ganglion cysts in the upper extremity are rare. Those at the elbow joint comprise only 9% of intraneural ganglion ever reported.A 66-year-old and right-handed male patient presented with a sudden onset of right-hand weakness. He initially noticed paresthesia with decreased sensation in the lateral two digits and radial palm in his right hand. Physical examination showed thenar muscle atrophy and muscle weakness of the abductor pollicis brevis in the right hand. Preoperative diagnosis of intraneural ganglion cyst was made on the basis of characteristic magnetic resonance imaging (MRI) findings. On exploration, the ulnar nerve was identified proximal to the elbow joint. Its articular branch was addressed and divided from the elbow joint.To the best of our knowledge, addressing the articular branch connecting the glenohumeral joint for the treatment of intraneural ganglion at the elbow has only been reported twice. We experienced a rare occurrence of intraneural ganglion cyst at the elbow manifesting an ulnar neuropathy. Here, we report intraoperative findings for the articular branch-connected to intraneural ganglion of the ulnar nerve at the elbow. Early diagnosis of intraneural ganglion with precise identification of the pathology and addressing the articular branch with atraumatic dissection of ganglion cyst are essential to achieve successful treatment for this rare lesion.

Ultrasound-guided aspiration of symptomatic intraneural ganglion cyst within the tibial nerve

2011 ◽  
Vol 40 (11) ◽  
pp. 1473-1478 ◽  
Author(s):  
Jean Jose ◽  
Roberto Fourzali ◽  
Bryson Lesniak ◽  
Lee Kaplan
Keyword(s):  
Tibial Nerve ◽  
Ganglion Cyst ◽  
Intraneural Ganglion ◽  
Ultrasound Guided ◽  
Intraneural Ganglion Cyst

Tibial nerve intraneural ganglion cyst in a 10-year-old boy

2013 ◽  
Vol 44 (4) ◽  
pp. 488-490 ◽  
Author(s):  
Judy H. Squires ◽  
Kathleen H. Emery ◽  
Neil Johnson ◽  
Joel Sorger
Keyword(s):  
Tibial Nerve ◽  
Ganglion Cyst ◽  
Intraneural Ganglion ◽  
Intraneural Ganglion Cyst

Ultrasound diagnosis of an intraneural ganglion cyst of the peroneal nerve

1992 ◽  
Vol 76 (3) ◽  
pp. 538-540 ◽  
Author(s):  
Frans S. S. Leijten ◽  
Willem-Frans Arts ◽  
Julien B. C. M. Puylaert
Keyword(s):  
Peroneal Nerve ◽  
Ganglion Cyst ◽  
Ultrasound Diagnosis ◽  
Intraneural Ganglion ◽  
Intraneural Ganglion Cyst ◽  
Content Type ◽  
Definition Of ◽  
Exact Definition ◽  
Fine Print

✓ The authors present the case of an intraneural ganglion cyst of the peroneal nerve. The cyst was diagnosed by means of ultrasound, which also gave an exact definition of its size and location, confirmed at operation. Some controversial aspects of these lesions are discussed.

scholarly journals Intraneural ganglion cyst involving the tibial nerve—a case report

2017 ◽  
Vol 3 (2) ◽  
pp. 20160116 ◽  
Author(s):  
Christina E Buckley ◽  
Emma Tong ◽  
Liam D Spence ◽  
Michael O’Shaughnessy
Keyword(s):  
Case Report ◽  
Tibial Nerve ◽  
Ganglion Cyst ◽  
Intraneural Ganglion ◽  
Intraneural Ganglion Cyst

scholarly journals Proximal Sciatic Nerve Intraneural Ganglion Cyst

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Karin R. Swartz ◽  
Dianne Wilson ◽  
Michael Boland ◽  
Dominic B. Fee
Keyword(s):  
Magnetic Resonance Imaging ◽  
Sciatic Nerve ◽  
Peripheral Nerves ◽  
Peroneal Nerve ◽  
Ganglion Cyst ◽  
Resonance Imaging ◽  
Intraneural Ganglion ◽  
Intraneural Ganglion Cyst ◽  
Ganglion Cysts ◽  
Left Buttock

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 intraneural ganglion cyst confined to the proximal sciatic nerve has only been reported once prior to 2009.

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