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Unusual peroneal nerve palsy caused by intraneural ganglion cyst: pathological mechanism and appropriate treatment.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Muramatsu, Keiichi Hashimoto, Takahiro Tominaga, Yasuhiro Tamura, Kazunori Taguchi, Toshihiko
Description	Country affiliation: Japan Author Affiliation: Muramatsu K ( Department of Orthopedic Surgery, Yamaguchi University School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan. muramatu@yamaguchi-u.ac.jp)
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.
File Format	HTM / HTML
ISSN	00016268
Issue Number	9
Volume Number	155
e-ISSN	09420940
Journal	Acta Neurochirurgica
Language	English
Publisher	Springer
Publisher Date	2013-09-01
Publisher Place	Austria
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Diagnosis, Differential Peroneal Nerve Peroneal Neuropathies Complications Humans Middle Aged Neoplasm Recurrence, Local Ganglion Cysts Male Treatment Outcome Discipline Neurosurgery Journal Article Decompression, Surgical Case Reports Pathology Etiology Surgery Female Aged Methods
Content Type	Text
Resource Type	Case study Article
Subject	Neurology (clinical) Surgery

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