Peroneal and Tibial Intraneural Ganglion Cysts in Children

Akçakaya, Mehmet; Shapira, Yuval; Rochkind, Shimon

doi:10.1159/000368838

Cited by 9 publications

(5 citation statements)

References 22 publications

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“…Intraneural ganglion cysts usually occur in adults [2]. However, one of our cases showed that the disease can also occur in children and adolescents as also described in other cases [16,17].…”

Section: Discussionsupporting

confidence: 77%

Intraneural ganglion cysts of the lower limb

Fricke

Schmitt

Jansen

2018

Fortschr Röntgenstr

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Background Intraneural ganglion cysts are rare. They affect the peripheral nerves. According to the most widely accepted theory (articular/synovial theory), the cysts are formed from a capsular defect of an adjacent joint, so that synovial fluid spreads along the epineurium of a nerve branch. This leads to diverse neurological symptoms. We will illustrate this disease based on three of our own cases. Methods Patients were examined between 2011 and 2018 using lower limb MRI. MRI scans were also performed for the follow-up examinations. Case studies and Discussion The patients had many symptoms. We were able to accurately detect the intraneural ganglion cysts on MRI and provide the treating surgeons with the basis for the operation to be performed. The success of surgical therapy depends on the resection of the nerve endings supplying the joint as the only way to treat the origin of the disease and prevent recurrence. Based on our case studies, we can support the commonly favored articular/synovial theory. Key Points: Citation Format

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Section: Discussionsupporting

confidence: 77%

Intraneural ganglion cysts of the lower limb

Fricke

Schmitt

Jansen

2018

Fortschr Röntgenstr

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“…Although our patient appeared to have an important functional deficit with an almost complete paralysis, an important motor recovery was observed at the 2-month post-operative follow-up, despite the consistent volume of the cyst and the acute appearance of drop foot. Other authors report partial recoveries after 3 months [13,21], while others report the persistence of slight motor deficits several months after surgery [21,27]. However, there appear to be motor recoveries even seventeen months after surgery [28].…”

Section: Discussionmentioning

confidence: 97%

“…Similar to the cases reported by Williams [14] and Stamiris [10], rehabilitative treatment seems to improve the clinical outcomes and, in our case, prompt surgical treatment may have further affected the complete motor recovery. However, even in cases where the symptoms last for months, it may be useful to refer for surgery [21]. A palpable mass lateral to the fibula head may be present [22].…”

Section: Discussionmentioning

confidence: 99%

Acute Foot Drop Caused by Intraneural Ganglion Cyst of the Peroneal Nerve: Literature Review and Case Report

della Vecchia,

Baldi,

Passavanti

et al. 2023

JPM

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Background: Foot drop (FD) is characterized by an inability to lift the foot against gravity because of dorsiflexor muscle weakness. The aim of the present study is to report a clinical case of acute non-traumatic FD in patients with peroneal intraneural ganglion, after performing a scoping review on the methodological management of this disease. Methods: We performed a review of the literature and reported the case of a 49-year-old man with acute FD caused by an intraneural ganglion cyst of the peroneal nerve. Results: Out of a total of 201 articles, 3 were suitable for our review beyond our case report. The acute FD caused by peroneal intraneural ganglion can be managed by a careful clinical–instrumental differential diagnosis. A targeted surgery with subsequent rehabilitation produced a satisfactory motor recovery. Conclusions: Acute FD requires an appropriate diagnostic–therapeutic framework to identify and effectively treat the causes in order to promote complete recovery

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“…However, two out of three patients with affection of the peroneal nerve had a preserved motor function preoperative which improved during the follow-up. 5 …”

Section: Discussionmentioning

confidence: 99%

“…Most commonly patients present with a foot drop with subsequent high stepping gait and associated sensory deficits. 5 6 …”

Section: Introductionmentioning

confidence: 99%

Intraneural Ganglion of the Peroneal Nerve—A Rare Cause of Pediatric Peroneal Nerve Palsy: A Case Report

Bucher

Maerz

Obed

et al. 2022

European J Pediatr Surg Rep.

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Intraneural ganglia are benign mucinous cysts located within the epineurium of a peripheral nerve. The pathogenesis and formation of intraneural ganglia are controversial. The main theories described in the literature are of degenerative, synovial or de novo occurrence. We present the case of a 14-year-old boy who presented in our outpatient clinic with a complaint of interdigital neuralgia between hallux and second toe, as well as left foot drop. MRI examination showed a hyperintense cystic distension of the common peroneal nerve measuring 130 mm × 5 mm extending from the poplitea to the anterior compartment of the leg. We performed microscopic decompression and neurolysis surgery. The cyst showed a sac-like distension at its distal end with connection to the tibiofibular joint and was resected. After 8 weeks, postoperatively, the boy claimed to be pain-free and slight recovery of the superficial peroneal nerve was noticed. At 6 months postoperative, the patient showed a continuous improvement of motor function, demonstrating foot eversion with 3/5 muscle strength and foot extension with 2/5 muscle strength. Intraneural ganglia reported for pediatric patients represent a very rare entity. To the best of our knowledge, less than 15 cases have been described within the English-speaking literature.

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Peroneal and Tibial Intraneural Ganglion Cysts in Children

Cited by 9 publications

References 22 publications

Intraneural ganglion cysts of the lower limb

Intraneural ganglion cysts of the lower limb

Acute Foot Drop Caused by Intraneural Ganglion Cyst of the Peroneal Nerve: Literature Review and Case Report

Intraneural Ganglion of the Peroneal Nerve—A Rare Cause of Pediatric Peroneal Nerve Palsy: A Case Report

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