Ganglion cysts and nerves

Nicholas M. Desy, Kimberly K. Amrami, Robert J. Spinner

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Ganglion cysts are benign, contained collections of mucin, typically related to neighboring synovial joints that may affect nerve indirectly by extrinsic compression or directly by intrinsic compression. A unifying synovial (articular) theory explains extraneural and intraneural ganglia in terms of their dissection through capsular defects separate from or within articular branch connections. Depending on the site of the capsular defect, these cysts tend to form along paths of least resistance and take shape by pressure fluxes. Identification of the non-neural or neural joint connection ("pedicle" ) and its surgical removal is important to decrease recurrence and to improve patient outcomes. New imaging techniques can help the radiologist and treating surgeon detect the pedicle, obtain a preoperative diagnosis and direct the nature of the intervention. This review summarizes recent advances in the pathogenesis, evaluation, and management of patients with ganglia affecting nerve.

Original languageEnglish (US)
Pages (from-to)187-194
Number of pages8
JournalNeurosurgery Quarterly
Volume16
Issue number4
DOIs
StatePublished - Dec 2006

Fingerprint

Ganglion Cysts
Joints
Ganglia
Mucins
Dissection
Cysts
Pressure
Recurrence

Keywords

  • Cysts
  • Extraneural ganglion cysts
  • Intraneural
  • MRI

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Desy, N. M., Amrami, K. K., & Spinner, R. J. (2006). Ganglion cysts and nerves. Neurosurgery Quarterly, 16(4), 187-194. https://doi.org/10.1097/01.wnq.0000214029.54860.44

Ganglion cysts and nerves. / Desy, Nicholas M.; Amrami, Kimberly K.; Spinner, Robert J.

In: Neurosurgery Quarterly, Vol. 16, No. 4, 12.2006, p. 187-194.

Research output: Contribution to journalArticle

Desy, NM, Amrami, KK & Spinner, RJ 2006, 'Ganglion cysts and nerves', Neurosurgery Quarterly, vol. 16, no. 4, pp. 187-194. https://doi.org/10.1097/01.wnq.0000214029.54860.44
Desy, Nicholas M. ; Amrami, Kimberly K. ; Spinner, Robert J. / Ganglion cysts and nerves. In: Neurosurgery Quarterly. 2006 ; Vol. 16, No. 4. pp. 187-194.
@article{31d0fe23467a42d0b8d760edb7f93990,
title = "Ganglion cysts and nerves",
abstract = "Ganglion cysts are benign, contained collections of mucin, typically related to neighboring synovial joints that may affect nerve indirectly by extrinsic compression or directly by intrinsic compression. A unifying synovial (articular) theory explains extraneural and intraneural ganglia in terms of their dissection through capsular defects separate from or within articular branch connections. Depending on the site of the capsular defect, these cysts tend to form along paths of least resistance and take shape by pressure fluxes. Identification of the non-neural or neural joint connection ({"}pedicle{"} ) and its surgical removal is important to decrease recurrence and to improve patient outcomes. New imaging techniques can help the radiologist and treating surgeon detect the pedicle, obtain a preoperative diagnosis and direct the nature of the intervention. This review summarizes recent advances in the pathogenesis, evaluation, and management of patients with ganglia affecting nerve.",
keywords = "Cysts, Extraneural ganglion cysts, Intraneural, MRI",
author = "Desy, {Nicholas M.} and Amrami, {Kimberly K.} and Spinner, {Robert J.}",
year = "2006",
month = "12",
doi = "10.1097/01.wnq.0000214029.54860.44",
language = "English (US)",
volume = "16",
pages = "187--194",
journal = "Neurosurgery Quarterly",
issn = "1050-6438",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Ganglion cysts and nerves

AU - Desy, Nicholas M.

AU - Amrami, Kimberly K.

AU - Spinner, Robert J.

PY - 2006/12

Y1 - 2006/12

N2 - Ganglion cysts are benign, contained collections of mucin, typically related to neighboring synovial joints that may affect nerve indirectly by extrinsic compression or directly by intrinsic compression. A unifying synovial (articular) theory explains extraneural and intraneural ganglia in terms of their dissection through capsular defects separate from or within articular branch connections. Depending on the site of the capsular defect, these cysts tend to form along paths of least resistance and take shape by pressure fluxes. Identification of the non-neural or neural joint connection ("pedicle" ) and its surgical removal is important to decrease recurrence and to improve patient outcomes. New imaging techniques can help the radiologist and treating surgeon detect the pedicle, obtain a preoperative diagnosis and direct the nature of the intervention. This review summarizes recent advances in the pathogenesis, evaluation, and management of patients with ganglia affecting nerve.

AB - Ganglion cysts are benign, contained collections of mucin, typically related to neighboring synovial joints that may affect nerve indirectly by extrinsic compression or directly by intrinsic compression. A unifying synovial (articular) theory explains extraneural and intraneural ganglia in terms of their dissection through capsular defects separate from or within articular branch connections. Depending on the site of the capsular defect, these cysts tend to form along paths of least resistance and take shape by pressure fluxes. Identification of the non-neural or neural joint connection ("pedicle" ) and its surgical removal is important to decrease recurrence and to improve patient outcomes. New imaging techniques can help the radiologist and treating surgeon detect the pedicle, obtain a preoperative diagnosis and direct the nature of the intervention. This review summarizes recent advances in the pathogenesis, evaluation, and management of patients with ganglia affecting nerve.

KW - Cysts

KW - Extraneural ganglion cysts

KW - Intraneural

KW - MRI

UR - http://www.scopus.com/inward/record.url?scp=33751219879&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33751219879&partnerID=8YFLogxK

U2 - 10.1097/01.wnq.0000214029.54860.44

DO - 10.1097/01.wnq.0000214029.54860.44

M3 - Article

AN - SCOPUS:33751219879

VL - 16

SP - 187

EP - 194

JO - Neurosurgery Quarterly

JF - Neurosurgery Quarterly

SN - 1050-6438

IS - 4

ER -