Compression neuropathy of the peroneal nerve secondary to a ganglion cyst
Compression neuropathy of the peroneal nerve secondary to a ganglion cyst
复制标题
DOI：
10.1177/229255030801600307
复制
发表时间：
2008-09-01
影响因子：
--
通讯作者：
Gan, Bing Siang
中科院分区：
文献类型：
--
作者：
Greer-Bayramoglu, Rebecca J.;Nimigan, Andre S.;Gan, Bing Siang
由腱鞘囊肿引起的周围神经病变是罕见的，特别是在下肢。一个45岁的男子有两个月的历史，足下垂和肿胀的地区，右腓骨头的情况下提出。体格检查和肌电图检查证实腓神经麻痹。磁共振成像显示一个分叶状，多房，囊性肿块周围延伸腓骨颈。进行神经减压手术，切除肿块并小心地进行关节分支结扎。手术病理报告证实了腱鞘囊肿的诊断。患者在减压后4个月内恢复了全部功能。讨论了体格检查的相关结果，以及肌电图和磁共振成像结果。如果症状持续存在，建议早期手术减压（第三和第四个月之间）。
Peripheral neuropathies caused by ganglion cysts are rare, particularly in the lower extremities. The case of a 45-year-old man with a two-month history of foot drop and swelling in the region of the right fibular head is presented. Physical examination and electromyogram Studies verified a peroneal nerve palsy. Magnetic resonance imaging revealed a lobulated, multilocular, cystic-appearing mass extending around the fibular neck. surgical decompression of the nerve with removal of the mass and careful articular branch ligation was performed. Surgical pathology reports confirmed the diagnosis of a ganglion cyst. The patient regained full function within four months of the decompression. Pertinent findings on physical examination are discussed, as well as electromyogram and magnetic resonance imaging results. If symptoms persist, early Surgical decompression (between the third and fourth months) is recommended.