Unusual peroneal nerve palsy caused by intraneural ganglion cyst: pathological mechanism and appropriate treatment.
Acta Neurochir (Wien)
; 155(9): 1757-61, 2013 Sep.
Article
em En
| MEDLINE
| ID: mdl-23702792
ABSTRACT
The origin of the peroneal intraneural ganglion and the outcome of treatment are still controversial. We report here three cases with peroneal intraneural ganglion and discuss the appropriate treatment. In our cases, 58-, 62-, and 65-year-old patients were operated on with extraneural decompression and epineurotomy within 4 months after onset of drop foot. Two cases demonstrated intraneural ganglion connecting to the articular branch and traversing to the deep and common peroneal nerve. At the 1-year follow-up, paralyzed peroneal nerve could be recovered in all patients even with residual ganglion. We propose correct early diagnosis, simple exoneural dissection, and atraumatic epineurotomy for the successful treatment of peroneal intraneural ganglion. Disruption of the stalk in the articular branch is a key point to prevent recurrence. For early diagnosis, clinicians should be aware of the existence of this rare lesion.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Nervo Fibular
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Neuropatias Fibulares
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Cistos Glanglionares
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Screening_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article