Foot drop secondary to peroneal intraneural cyst arising from tibiofibular joint

Lee, Yong Seuk; Kim, Jee‐Eun; Kwak, Ji Hoon; Wang, Il Whan; Lee, Beom Koo

doi:10.1007/s00167-012-2194-0

Cited by 16 publications

(12 citation statements)

References 12 publications

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“…It is responsible for the dorsiflexion and eversion of the foot via the tibialis anterior muscle and the fibularis longus and brevis. Therefore, a lesion in this area will lead to a drop of the foot and symptoms of neural irritation in the anterolateral section of the leg 9 10…”

Section: Discussionmentioning

confidence: 99%

Intraneural ganglion cyst on the external popliteal nerve

et al. 2014

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There are many causes for the paralysis of the external sciatic popliteal nerve , such as the intraneural ganglion cyst. In this case, we evaluate a 52-year-old woman with no relevant personal record, who was admitted with paresis of the right foot of 4 months of evolution associated with alterations in the sensitivity that rose up to the posterolateral region of the leg. The diagnosis was based on MR and cyst decompression and disconnection of the articular branch. Given the low incidence of these lesions, their origin is still subject to controversy. The most widely accepted theory is the unifying articular theory described by Spinner in the year 2003. Intraneural ganglion cysts must be included in the differential diagnosis of progressive paralysis of the sciatic nerve, lesions of the nerve root at L5 and nerve sheath tumours that start at the lateral compartment of the knee. The treatment of a fibular intraneural ganglion cyst must be surgical and the operation must be performed as soon as possible.

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Section: Discussionmentioning

confidence: 99%

Intraneural ganglion cyst on the external popliteal nerve

et al. 2014

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“…Especially in children, immediately after compression findings, urgent intervention is required in order to obtain satisfactory clinical results (9). Cyst decompression seems like an inadequate method with a high recurrence rate in the literature (1,4,8,9). Therefore, today, in addition to decompression of the cyst, studies recommend the elimination of articular joint connection through excision (1,3,4,8,9).…”

Section: A B Bmentioning

confidence: 99%

“…Cyst decompression seems like an inadequate method with a high recurrence rate in the literature (1,4,8,9). Therefore, today, in addition to decompression of the cyst, studies recommend the elimination of articular joint connection through excision (1,3,4,8,9). Hence, it is important to evaluate these findings with the help of imaging studies during the preoperative assessment for such an evaluation may change surgical processes.…”

Section: A B Bmentioning

confidence: 99%

“…Generally caused by trauma-related or posttraumatic compression of casts, such issues, though rarely, may also be associated with intraneural ganglion cysts (1,2). The pathophysiology of intraneural ganglion cyst is still one of the controversial issues today; some authors claim that ganglion cyst is originated in proximal tibiofibular joint (1,(3)(4)(5)(6)(7)(8)(9),while others mentioned that it is a degeneration of the nerve sheath (10,11).…”

mentioning

confidence: 99%

“…One of these theories, more widely accepted in recent years, is the synovial (articular) theory which claims that ganglion arises from the proximal tibiofibular joint and moving along the recurrent articular branch by dissecting the epineurium between nerve fascicles, proximally reaches out to the deep-superficial peroneal nerve, the common peroneal nerve, and sometimes even to the sciatic nerve (1,(4)(5)(6)(7)(8)(9)12,14). According to the second theory, myxoid degenerative changes take place in the nerve sheath, causing the cyst formation (1,4,12,14).…”

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confidence: 99%

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Peroneal Intraneural Ganglion Cyst Arising from Proximal Tibiofibular Joint: Advantages of Magnetic Resonance Imaging on Preoperative Diagnosis

2014

J Turgut Ozal Med Cent

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Peroneal intraneural ganglion cystsusually occur in adult male population and may cause neurological symptoms. Most patients complain of pain and palpable mass located near the lateral part of the fibular neck where peroneal nerve passes through.Most of the patients share complaints of pain and palpable masses located near the lateral part of the fibular neck where peroneal nerve passes through. We would like to present the case of a 14-year-old girl who presented in our clinic with pain and mass at the lateral side of her knee and drop foot due to a peroneal intraneural ganglion cyst, a rare cause of lower extremity paralysis. In order to regain best possible recovery, quick diagnosis and immediate treatment are essential in such cases. Magnetic resonance imaging (MRI) provides reliable and proper information and while also shedding light on therapeutic approaches.

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