Jacobs R R, Maxwell J A, Kepes J
Clin Orthop Relat Res. 1975 Nov-Dec(113):135-44.
Two cases of intraneural ganglia are reported: the first reported involvement of the sciatic nerve and the first reported involvement of the tibial nerve in the tarsal tunnel. Both were successfully treated by excision with sparing the neural elements leading to neurological recovery. A review of the literature fails to reveal any consensus that lesions arise from normal synovial cavities. Incision, evacuation, and complete excision under magnification sparing neural elements gives satisfactory results. Excision of the nerve is not indicated. Pathologic examination suggests that the lesion arises by multicentric metaplasia of connective tissue elements of the nerve rather than by invasion.
首例报告累及坐骨神经，首例报告累及跗管内的胫神经。两例均通过保留神经成分的切除术成功治疗，实现了神经功能恢复。文献综述未发现关于病变起源于正常滑膜腔的共识。在保留神经成分的情况下，在放大倍数下进行切开、引流和完全切除可取得满意效果。不建议切除神经。病理检查表明，病变是由神经结缔组织成分的多中心化生引起的，而非侵袭所致。
