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. 2019;26(2):147-151.
doi: 10.6001/actamedica.v26i2.4036.

Intraneural ganglion cyst: a case report and a review of the literature

Vladislav Lisovski  1 , Mindaugas Minderis  1
Affiliations

Intraneural ganglion cyst: a case report and a review of the literature

Vladislav Lisovski et al. Acta Med Litu. 2019.

Abstract
in English, Lithuanian

Background: An intraneural ganglion cyst is a non-neoplastic gelatinous cyst, which can be found within the epineurium of a peripheral nerve and lead to signs and symptoms of peripheral neuropathy. Early diagnosis and appropriate surgical treatment of this condition is a key to a successful outcome.

Materials and methods: We describe a case of a patient with peroneal nerve neuropathy caused by an intraneural ganglion cyst. Postsurgically, only partial relieve of the symptoms was achieved because of delayed diagnosis.

Results: The aetiology of intraneural ganglia is controversial and historically different pathogeneses of this condition have been described. Diagnosis of these cysts is based on MRI. Multiple surgical treatment strategies have been developed based on different pathogenesis of the formation of these cysts, but neuropathy is reversible only, if this condition is diagnosed and treated early.

SantraukaTikslas. Intraneurinis ganglionas – tai nepyktybinis, „drebučių“ konsistencijos turiniu užpildytas mucininis darinys, randamas periferinių nervų viduje, ilgainiui sukeliantis periferinės kompresinės neuropatijos simptomus ir požymius. Ankstyva diagnozė ir tinkamas chirurginis gydymas – esminiai veiksniai, siekiant sėkmingo ligos gydymo. Medžiaga ir metodai. Straipsnyje pateikiamas šeivinio nervo intraneurinio gangliono sukeltos kompresinės neuropatijos klinikinis atvejis. Po chirurginio gydymo pasiektas tik dalinis pagerėjimas dėl per vėlai nustatytos diagnozės.Rezultatai ir išvados. Intraneurinių ganglionų etiologija nėra visiškai aiški, todėl sukurta keletas teorijų, paaiškinančių šių darinių patogenezę. Diagnostika remiasi magnetinio rezonanso tomografijos tyrimu. Literatūroje randama daug šios patologijos gydymo būdų, atsižvelgiant į įvairias patogenezės teorijas. Ligos simptomai neatsinaujina tik esant ankstyvai diagnozei ir gydymui.Raktažodžiai: intraneurinis ganglionas, šeivinio nervo neuropatija, apibendrinanti sąnarinė teorija.

Keywords: Intraneural ganglion cyst; peroneal neuropathy; unifying articular theory.

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Figures

Figure.
Figure.
Intraoperative view of the dissected peroneal nerve, before microsurgical dissection (left), after microsurgical fascicles dissection (upper right), and ganglion decompression (lower right)
See this image and copyright information in PMC

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