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

della Vecchia, Giuseppe; Baldi, Alfonso; Passavanti, Maria Beatrice; Lucariello, Angela; De Luca, Antonio; De Blasiis, Paolo

doi:10.3390/jpm13071137

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…To date, there have been no documented cases in which ganglion cysts forming on branches of the sciatic nerve, which bifurcates into the peroneal and tibial nerves, result in both peroneal and tibial nerve palsies simultaneously [ 1 , 7 , 10 , 11 ]. Although palsies of the peroneal nerve caused by ganglion cysts are uncommon, early diagnosis and prompt treatment are important if they do occur [ 12 ]. In this paper, we present the case of a 74-year-old man visiting the outpatient clinic complaining of left-sided foot drop, loss of ankle plantarflexion and toe flexion, and sensory loss in the lower extremity, indicating both tibial and peroneal nerve palsies.…”

Section: Introductionmentioning

confidence: 99%

Palsy of Both the Tibial Nerve and Common Peroneal Nerve Caused by a Ganglion Cyst in the Popliteal Area

Lee,

Kim,

Kim

et al. 2024

Medicina

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A ganglion cyst is a benign mass consisting of high-viscosity mucinous fluid. It can originate from the sheath of a tendon, peripheral nerve, or joint capsule. Compressive neuropathy caused by a ganglion cyst is rarely reported, with the majority of documented cases involving peroneal nerve palsy. To date, cases demonstrating both peroneal and tibial nerve palsies resulting from a ganglion cyst forming on a branch of the sciatic nerve have not been reported. In this paper, we present the case of a 74-year-old man visiting an outpatient clinic complaining of left-sided foot drop and sensory loss in the lower extremity, a lack of strength in his left leg, and a decrease in sensation in the leg for the past month without any history of trauma. Ankle dorsiflexion and great toe extension strength on the left side were Grade I. Ankle plantar flexion and great toe flexion were Grade II. We suspected peroneal and tibial nerve palsy and performed a screening ultrasound, which is inexpensive and rapid. In the operative field, several cysts were discovered, originating at the site where the sciatic nerve splits into peroneal and tibial nerves. After successful surgical decompression and a series of rehabilitation procedures, the patient’s neurological symptoms improved. There was no recurrence.

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Section: Introductionmentioning

confidence: 99%

Palsy of Both the Tibial Nerve and Common Peroneal Nerve Caused by a Ganglion Cyst in the Popliteal Area

Lee,

Kim,

Kim

et al. 2024

Medicina

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“…In conclusion, the journey towards personalized peripheral nerve surgery is characterized by innovation [ 13 , 14 ], collaboration [ 15 ], and a relentless pursuit of excellence. As we harness the power of novel diagnostic modalities and surgical innovations [ 16 ], we move closer to our ultimate goal, i.e., delivering precision care that is tailored to the unique needs of each patient.…”

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confidence: 99%