Recurrent Peroneal Intraneural Ganglion Cyst: Management and Review of the Literature

Tigre, Joseph Yunga; Maddy, Krisna; Errante, Emily L.; Costello, Meredith  C; Steinlauf, Steven D.; Burks, S. Shelby

doi:10.7759/cureus.38449

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…Ganglion cyst is a diagnosis of exclusion; it is a pseudocyst with no lining. When no lining can be recognized in the H&E-stained sections, a presumptive diagnosis of ganglion cyst is made [7]. Paraffin immunostains are not routinely performed in these cases.…”

Section: Discussionmentioning

confidence: 99%

Intraneural Ulnar Nerve Ganglion: A Surgical Case Report of a 10-cm-Long Recurring Ganglion Cyst in the Forearm

Reiser,

Szallasi,

Sagerfors

2024

Case Rep Orthop Res

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Introduction: Intraneural ganglions are benign and rare mucinous cysts that originate within peripheral nerves and typically can lead to symptoms and signs of peripheral neuropathy. The most common location is the peroneal nerve, and the second most common location is the ulnar nerve. Case Presentation: We present a case of a 53-year-old man who presented with increasing numbness in the ulnar aspect of the left hand and decreasing hand strength. MRI showed an intraneural ganglion, and as the patient had clinically progressive symptoms, a decision was made for surgical excision. The patient was symptom-free after the procedure and had no neurological deficits. Eighteen months later, the patient contacted us again as his symptoms had returned. A new MRI showed ganglion recurrence. Due to progressive clinical symptoms, another attempt was made to remove the ganglion surgically. Paraffin immunostains excluded other diagnoses like synovial cyst, posttraumatic neuronal cyst, Tarlov cyst, mesothelial cyst, and cystic lymphangioma. At follow-up 3 months postoperatively, the patient was symptom-free and had normal neurological findings. Conclusion: Intraneural ganglion should be considered as a differential diagnosis of a cystic mass close to a nerve. For surgery, we favor less radical methods, such as simple decompression.

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Section: Discussionmentioning

confidence: 99%

Intraneural Ulnar Nerve Ganglion: A Surgical Case Report of a 10-cm-Long Recurring Ganglion Cyst in the Forearm

Reiser,

Szallasi,

Sagerfors

2024

Case Rep Orthop Res

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“…The degree of recovery depends mostly, unfortunately, not on the skill of the surgeon, but on the early diagnosis of the cyst. According to the literature data, late diagnosis or late referral to the hospital is considered to be 7 and more months after the onset of nerve palsy [20][21][22][23][24][25]. In this clinical case, the delay in surgical treatment arose as a result of erroneous conclusions regarding the ultrasound picture of the pathological condition at the beginning of the disease.…”

Section: Clinical Casementioning

confidence: 97%

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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Recurrent Peroneal Intraneural Ganglion Cyst: Management and Review of the Literature

Cited by 2 publications

References 14 publications

Intraneural Ulnar Nerve Ganglion: A Surgical Case Report of a 10-cm-Long Recurring Ganglion Cyst in the Forearm

Intraneural Ulnar Nerve Ganglion: A Surgical Case Report of a 10-cm-Long Recurring Ganglion Cyst in the Forearm

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

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