Recurrent intraneural ganglion cyst of the tibial nerve. Case report

Robert J. Spinner, John L.D. Atkinson, C. Michel Harper, Doris E. Wenger

Research output: Contribution to journalArticle

50 Scopus citations

Abstract

Different theories have evolved to explain the pathogenesis and the cell of origin of intraneural ganglion cysts. Reportedly only three cases of intraneural ganglion of the tibial nerve have been located within the popliteal fossa, and all of these were thought to arise within the nerve. The authors report a case of a recurrent tibial intraneural ganglion in which a connection to the proximal tibiofibular joint was demonstrated on magnetic resonance (MR) images and at surgery. Surgical ligation of the articular branch and evacuation of the cyst led to symptomatic relief, and an MR image obtained 1 year after surgery documented no recurrence. This case reinforces the fact that surgeons need to consider and search for an articular connection in all cases of intraneural ganglia, especially in those that have recurred.

Original languageEnglish (US)
Pages (from-to)334-337
Number of pages4
JournalJournal of neurosurgery
Volume92
Issue number2
DOIs
StatePublished - Feb 2000

Keywords

  • Intraneural ganglion cyst
  • Peripheral nerve
  • Popliteal fossa
  • Tibial nerve

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Spinner, R. J., Atkinson, J. L. D., Harper, C. M., & Wenger, D. E. (2000). Recurrent intraneural ganglion cyst of the tibial nerve. Case report. Journal of neurosurgery, 92(2), 334-337. https://doi.org/10.3171/jns.2000.92.2.0334