Zumrut Murat, Demirayak Mehmet, Kucukapan Ahmet
Murat Zumrut, MD. Assistant Professor, Department of Orthopaedic Surgery, Medical Faculty, Mevlana University, Konya, Turkey.
Mehmet Demirayak, MD. Assistant Professor, Department of Orthopaedic Surgery, Medical Faculty, Mevlana University, Konya, Turkey.
Pak J Med Sci. 2016 Jul-Aug;32(4):1047-50. doi: 10.12669/pjms.324.9998.
Peripheral neuropathies caused by ganglion cysts are quite rare, especially in the lower extremities. The case of a 64-year-old male with a 2-day history of foot drop and tenderness in the region of the left fibular neck is presented. Physical examination and electromyogram findings verified peroneal nerve palsy. Ultrasonography showed cystic mass localized proximal of the peroneal muscle structures. Magnetic resonance imaging revealed a cystic-appearing mass around the fibular neck that compressed the common peroneal nerve. Surgical excision and ligation of the cyst pedicle were performed. The pathology reports confirmed the diagnosis of a ganglion cyst. The patient regained full function within two months of the surgery. Early sensory symptoms before foot drop should be considered as an indication of surgical excision to prevent delayed damage. Ligation or electrocoagulation of the cyst pedicle should be a part of surgical procedure to avoid recurrences.
腱鞘囊肿引起的周围神经病变相当罕见，尤其是在下肢。本文报告了一例64岁男性，有2天足下垂病史，左侧腓骨颈区域压痛。体格检查和肌电图检查结果证实为腓总神经麻痹。超声检查显示囊性肿块位于腓骨肌肉结构近端。磁共振成像显示腓骨颈周围有一个呈囊性的肿块，压迫腓总神经。进行了囊肿蒂的手术切除和结扎。病理报告证实为腱鞘囊肿。患者在手术后两个月内恢复了全部功能。足下垂前的早期感觉症状应被视为手术切除的指征，以防止延迟性损伤。囊肿蒂的结扎或电凝应作为手术操作的一部分，以避免复发。
