Peroneal nerve palsy caused by a synovial cyst of the proximal tibiofibular joint: a report of two cases and review of the literature

Fekih, A.; Saadana, Jacem; Othman, Youssef; Aloui, I.; Abid, A.

doi:10.11604/pamj.2019.34.115.18339

Cited by 8 publications

(3 citation statements)

References 17 publications

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“…Involvement of the common peroneal nerve due to compression leading to neuropathy is a rare event with very few cases reported in the literature [ 4 , [14] , [15] , [16] , [17] ]. One case report described a 50-year-old woman with progressive foot drop and swelling over the fibular head which was confirmed to be ganglion cyst on imaging.…”

Section: Discussionmentioning

confidence: 99%

“…The two patients had similar findings of unilateral muscle weakness leading to loss of ankle dorsiflexion. Both patients had surgical excision of their respective cysts however, only one of the patients made a full recovery with the other continuing to have symptoms 18 months after surgery [15] . Similarly, a case report of a 50-year-old male with acute foot drop reported a compressive ganglion cyst affecting the peroneal nerve [4] .…”

Section: Discussionmentioning

confidence: 99%

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Ganglion cyst at the proximal tibiofibular joint - A rare cause of compression neuropathy of the peroneal nerve

Khan

Kazmi

Khan

et al. 2022

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ganglion cyst at the proximal tibiofibular joint - A rare cause of compression neuropathy of the peroneal nerve

Khan

Kazmi

Khan

et al. 2022

Radiology Case Reports

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“…Magnetic resonance imaging provides a better assessment of the regional anatomic relationships, including the connection to the joint through the pedicle and the extra-or intraneural location of the cyst [7][8][9]. Ultrasound is another method for detection of the soft tissue masses and can be useful in unclear cases, but this method has certain limitations, such as difficulty in differentiating between benign and malignant tumors and detecting of the cyst-to-joint connections [10][11][12][13].…”

Section: Clinical Casementioning

confidence: 99%

Intraneural Cyst of Peripheral Nerve: Scientific Literature Review and Clinical Case Analyze

Khimion,

Tymoshchuk,

Kicha

et al. 2023

FMEP

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An intraneural ganglion cyst is a non-neoplastic formation that develops in the epineurum and is difficult to diagnose. At the same time, the formation causes pronounced sensorimotor disturbances along the affected nerve, which can become irreversible in case of long-term existence, delays in diagnosis and treatment, thus significantly impairing the patient’s health and limiting the patient’s mobility. The objective: to analyze the modern scientific sources on the morphology, diagnosis and effective methods of treatment of intraneural ganglion cysts (INGC) and to apply these data to describe a case from the clinical practice of Ukrainian specialists. Materials and methods. Information was searched in scientific sources PubMed, Medscape, ResearchGate, Scientific periodical of Ukraine, Vernadsky National Library of Ukraine regarding the diagnosis, morphology, pathogenesis and modern approaches to the treatment of ganglion intraneural cysts. The obtained data are illustrated by clinical case, which is a first published case description of INGC in Ukraine. Results. According to the analyzed scientific medical literature, INGC mostly was not recognized as a separate pathology until the 90s of the 20th century, because there were no imaging diagnostic methods with sufficient resolution for precise diagnosis, so INGC was described as an abscess, cystic schwannoma, etc. Also there were “curious” cystic findings in epinevrium made from 1810 till 1998 [1]. No description of this pathological condition was found in Ukrainian publications. At present recommended diagnostic method is MRI; early surgical intervention is recommended as the only effective treatment to prevent the development of irreversible nerve changes. The article provides review and analyze of the scientific data and illustrated by detailed description of the clinical case of INGC – symptoms, diagnostic examinations, surgical treatment and postoperative followup results. Conclusions. The awareness of doctors of various specialties with the clinical and imaging signs of INGC, treatment methods will allow more effective early detection and timely treatment of patients, since this rare condition can cause irreversible sensory-motor nerve damage. At the same time, a early surgical intervention practically guarantees a full recovery.

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Common Peroneal Nerve Entrapment

Akhaddar

2023

Atlas of Sciatica

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Peroneal nerve palsy caused by a synovial cyst of the proximal tibiofibular joint: a report of two cases and review of the literature

Cited by 8 publications

References 17 publications

Ganglion cyst at the proximal tibiofibular joint - A rare cause of compression neuropathy of the peroneal nerve

Ganglion cyst at the proximal tibiofibular joint - A rare cause of compression neuropathy of the peroneal nerve

Intraneural Cyst of Peripheral Nerve: Scientific Literature Review and Clinical Case Analyze

Common Peroneal Nerve Entrapment

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