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Intraneural Ganglion of the Tibial Nerve

Yıl 2012, Cilt: 12 Sayı: 4, 217 - 218, 01.04.2012

Öz

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. 

Kaynakça

  • 1. Scherman BM, Bilbao JM, Hudson AR, Briggs SJ, Intraneural ganglion: a case report with electron microscopic observations. Neurosurgery. 1981 Apr;8(4):487-90.
  • 2. Spinner RJ, Desy NM, Rock MG, Amrami KK. Peroneal intraneural ganglia. Part I. Techniques for successful diagnosis and treatment. Neurosurg Focus. 2007 Jun 15;22(6):E16.
  • 3. Fujita I, Matsumoto K, Minami T, Kizaki T, Akisue T, Yamamoto T. Tarsal tunnel syndrome caused by epineural ganglion of the posterior tibial nerve: report of 2 cases and review of the literature. J Foot Ankle Surg. 2004 MayJun;43(3):185-90. Review.
  • 4. Boyer MI, Hochban T, Bowen V. Tarsal tunnel syndrome: an unusual case resulting from an intraneural degenerative cyst. Can J Surg. 1995 Aug;38(4): 371-3.
  • 5. Gosk J, Rutowski R, Urban M, Reichert P, Rabczyński J. Intraneural ganglion of the tibial nerve--a case report. Neurol Neurochir Pol. 2007 Mar-Apr;41(2):176-80; discussion 180.

Intraneural Ganglion of the Tibial Nerve

Yıl 2012, Cilt: 12 Sayı: 4, 217 - 218, 01.04.2012

Öz

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.

Kaynakça

  • 1. Scherman BM, Bilbao JM, Hudson AR, Briggs SJ, Intraneural ganglion: a case report with electron microscopic observations. Neurosurgery. 1981 Apr;8(4):487-90.
  • 2. Spinner RJ, Desy NM, Rock MG, Amrami KK. Peroneal intraneural ganglia. Part I. Techniques for successful diagnosis and treatment. Neurosurg Focus. 2007 Jun 15;22(6):E16.
  • 3. Fujita I, Matsumoto K, Minami T, Kizaki T, Akisue T, Yamamoto T. Tarsal tunnel syndrome caused by epineural ganglion of the posterior tibial nerve: report of 2 cases and review of the literature. J Foot Ankle Surg. 2004 MayJun;43(3):185-90. Review.
  • 4. Boyer MI, Hochban T, Bowen V. Tarsal tunnel syndrome: an unusual case resulting from an intraneural degenerative cyst. Can J Surg. 1995 Aug;38(4): 371-3.
  • 5. Gosk J, Rutowski R, Urban M, Reichert P, Rabczyński J. Intraneural ganglion of the tibial nerve--a case report. Neurol Neurochir Pol. 2007 Mar-Apr;41(2):176-80; discussion 180.
Toplam 5 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Olgular
Yazarlar

Fatih Küçükdurmaz Bu kişi benim

Mahmut Aytekin Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2012
Yayımlandığı Sayı Yıl 2012 Cilt: 12 Sayı: 4

Kaynak Göster

APA Küçükdurmaz, F., & Aytekin, M. (2012). Intraneural Ganglion of the Tibial Nerve. Ankara Medical Journal, 12(4), 217-218.
AMA Küçükdurmaz F, Aytekin M. Intraneural Ganglion of the Tibial Nerve. Ankara Med J. Nisan 2012;12(4):217-218.
Chicago Küçükdurmaz, Fatih, ve Mahmut Aytekin. “Intraneural Ganglion of the Tibial Nerve”. Ankara Medical Journal 12, sy. 4 (Nisan 2012): 217-18.
EndNote Küçükdurmaz F, Aytekin M (01 Nisan 2012) Intraneural Ganglion of the Tibial Nerve. Ankara Medical Journal 12 4 217–218.
IEEE F. Küçükdurmaz ve M. Aytekin, “Intraneural Ganglion of the Tibial Nerve”, Ankara Med J, c. 12, sy. 4, ss. 217–218, 2012.
ISNAD Küçükdurmaz, Fatih - Aytekin, Mahmut. “Intraneural Ganglion of the Tibial Nerve”. Ankara Medical Journal 12/4 (Nisan 2012), 217-218.
JAMA Küçükdurmaz F, Aytekin M. Intraneural Ganglion of the Tibial Nerve. Ankara Med J. 2012;12:217–218.
MLA Küçükdurmaz, Fatih ve Mahmut Aytekin. “Intraneural Ganglion of the Tibial Nerve”. Ankara Medical Journal, c. 12, sy. 4, 2012, ss. 217-8.
Vancouver Küçükdurmaz F, Aytekin M. Intraneural Ganglion of the Tibial Nerve. Ankara Med J. 2012;12(4):217-8.