Lee J H, Jun J B, Lee H S, Yun H R, Choi C H, Park S B, Hong E K, Yoo D H, Kim S Y
Hospital for Rheumatic Diseases, Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
Korean J Intern Med. 2000 Jan;15(1):96-8. doi: 10.3904/kjim.2000.15.1.96.
Baker's cysts are rare cause of peripheral nerve entrapment and only a few cases of tibial nerve entrapment resulting from the popliteal cyst in the calf muscle have been reported in the literature. We present a case of rheumatoid arthritis complicated by a Baker's cyst with a tibial nerve entrapment. It is important to diagnose a Baker's cyst early and to differentiate it from thrombophlebitis, a popliteal aneurysm, tumor or muscle tear to effect optimal therapy and to obviate a potential neuropathy. Prompt recognition of these cases may save the patients unnecessary procedures and delay in treatment.
贝克囊肿是周围神经卡压的罕见病因，文献中仅报道了少数几例因小腿肌腘窝囊肿导致胫神经卡压的病例。我们报告一例类风湿关节炎合并贝克囊肿伴胫神经卡压的病例。早期诊断贝克囊肿并将其与血栓性静脉炎、腘动脉瘤、肿瘤或肌肉撕裂相鉴别，对于实现最佳治疗并避免潜在的神经病变至关重要。及时识别这些病例可避免患者接受不必要的检查和延误治疗。
