Intraneural ganglion cyst of the ulnar nerve in an unusual location: A case report

Öztürk, Ufuk; Salduz, Ahmet; Demіrel, Mehmet; Pehlivanoğlu, Tuna; Sıvacıoğlu, Sevan

doi:10.1016/j.ijscr.2017.01.007

Cited by 6 publications

(1 citation statement)

References 16 publications

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“…Details of intraneural ganglion cysts of the ulnar nerve at the level of the wrist in the English literature in last two decades are shown in Table 1 . 1 , 5 , 7 , 9 – 15 These studies suggest that the synovial (articular) theory is the most logical and applicable explanation. Some authors 7 , 9 , 10 , 15 did not find an articular branch, which connected with the adjacent joint.…”

Section: Discussionmentioning

confidence: 95%

An intraneural ganglion cyst of the ulnar nerve at the wrist: a case report and literature review

et al. 2021

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Background Intraneural ganglion cysts of the ulnar nerve at the wrist are rare and poorly understood. We report a case of an intraneural ganglion cyst at the level of the wrist. Case presentation: A 48-year-old man presented with the complaints of weakness for 6 months and serious aggravation for 1 month in his right hand. After examinations, including ultrasound, the patient was diagnosed with an intraneural ganglion cyst. Intraoperatively, with exposure of the ulnar nerve, we found that the intraneural ganglion cyst was at the level of Guyon’s canal and extended approximately 6 cm proximally. Postoperatively, sensation of the fingers was normal, but atrophy of his muscles and limited straightening of his ring and little fingers were similar to those preoperatively. Conclusions Diagnosis of an intraneural cyst before surgery is mostly based on ultrasound and magnetic resonance imaging. Transection of the articular branch is an important measure to prevent recurrence of this cyst. If the ulnar nerve is compressed and causes symptoms, nerve decompression, including removal/aspiration of the cyst, and sometimes external neurolysis of the nerve, are necessary to relieve the symptoms and allow regeneration of the nerve. However, these should be performed without damaging the nerve fascicles.

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