Department of Pediatric Surgery, University hospital Leipzig, 04103 Leipzig, Germany.
J Pediatr Surg. 2010 Jan;45(1):259-61. doi: 10.1016/j.jpedsurg.2009.09.039.
A 12-year-old boy was referred to our clinic because of progressive paresis of left peroneal nerve. Ultrasound showed a cystic mass close to the proximity of the fibula neck. Puncture revealed jelly-like fluid, but that could not relieve symptoms. Six weeks after onset of symptoms, the boy had complete paresis. Peroneal intraneural ganglia are a rare entity of paralysis of the lower limb in children; more often these symptoms occur because of exostosis. Surgical exploration showed a cystic formation involving the common peroneal nerve. Total recovery of nerve function was seen two years later. Patients with exostosis showed varying outcomes. In children with symptoms suspicious of nerve compression, fast diagnosis and immediate treatment are mandatory to regain best possible recovery.
一位 12 岁男孩因左侧腓总神经进行性瘫痪而被转介到我们的诊所。超声显示腓骨颈附近有一个囊性肿块。穿刺抽出果冻样液体，但未能缓解症状。症状出现 6 周后，男孩完全瘫痪。腓总神经内神经节是儿童下肢瘫痪的罕见实体；更常见的是这些症状是由于外生骨疣引起的。手术探查显示一个囊性结构累及腓总神经。两年后，神经功能完全恢复。外生骨疣患者的结果不同。对于有神经压迫症状的儿童，快速诊断和立即治疗是恢复最佳功能的必要条件。
