Intraneural Ganglion of the Tibial Nerve

Year 2012, Volume: 12 Issue: 4, 217 - 218, 01.04.2012

Fatih Küçükdurmaz Mahmut Aytekin

Abstract

Ganglion cysts of tibial nerve is very rare. We present a
24 y/o male with a prominent mass at the posteromedial
side of the ankle joint. He experienced an intermittent mild
numbness and vague pain at the plantar and medial surface of his foot. Magnetic resonance imaging showed the
presence of the cyst within the tarsal tunnel. During surgery, an encapsulated cyst is found just beneath the skin
which surrounds the nerve. During dissection, we realized
the intraneural invasion of cyst. The cyst was successfully
removed by dissecting the nerve perineurally and intrafaciculary with microsurgical techniques. The patient was
freed from symptoms after surgery. 

Keywords

Ganglion, posterior, tibial nerve

Intraneural Ganglion of the Tibial Nerve

Abstract

Tibial sinirin gangliyon kistleri çok nadirdir. Bu çalışmada, bilek ekleminin posteromedial kısmında belirgin bir kitle olan, 24 yaşındaki bir erkek hasta olgusu sunmak istedik. Hasta, ayağının plantar ve medial yüzeyinde aralıklı, hafif ve belirsiz bir uyuşma hissinden bahsetmekteydi. Manyetik rezonans görüntülemesi tarsal tunneldeki kistin varlığını göstermiştir. Cerrahi sırasında, siniri çevreleyen derinin hemen yanında kapsülle çevrili bir kist varlığıyla karşılaştık. Diseksiyon esnasında, kistin intranöral olarak invaze olduğunu tespit ettik. Kist, mikrocerrahi teknikleri kullanılarak, sinirin perinöral ve intrafasiküler olarak diseksiyonu ile başarıyla çıkarıldı. Hasta, cerrahiden sonra semptomlarından kurtuldu.

Keywords

Gangliyon, posterior, tibial sinir

References

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