Department of Neurosurgery, Stanford University, Stanford, California, USA.
Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Muscle Nerve. 2018 Jun;57(6):989-993. doi: 10.1002/mus.26062. Epub 2018 Feb 5.
The objective of this study was to answer the typical questions from patients regarding the likely neurologic outcome and likelihood of recurrence when discussing peroneal intraneural ganglion cysts preoperatively.
Retrospective analysis of all patients who underwent surgery for a peroneal intraneural ganglion cyst between January 1, 2000, and April 1, 2017, was performed. Postoperative neurologic outcomes and radiologic recurrences are reported.
There were 65 patients. Average clinical follow-up was 14 months. Median dorsiflexion and eversion preoperatively were 2/5 and 4/5, respectively. Median dorsiflexion and eversion at last follow-up postoperatively were 5/5. Radiologic recurrence occurred in 6 (9%) patients, all extraneural.
The data support excellent postoperative motor outcomes, despite frequent dense weakness of peroneal-innervated musculature preoperatively. The surgical approach appears to eliminate risk of intraneural recurrence and minimizes risk of extraneural recurrence. Muscle Nerve 57: 989-993, 2018.
本研究的目的是回答患者在术前讨论腓肠神经内神经节囊肿时关于神经功能预后和复发可能性的常见问题。
对 2000 年 1 月 1 日至 2017 年 4 月 1 日期间所有因腓肠神经内神经节囊肿而行手术治疗的患者进行回顾性分析。报告术后神经功能结果和影像学复发情况。
共 65 例患者。平均临床随访 14 个月。术前背屈和外翻的中位数分别为 2/5 和 4/5。术后末次随访时背屈和外翻的中位数均为 5/5。6 例（9%）患者出现影像学复发，均为神经外复发。
尽管术前腓肠神经支配的肌肉常出现严重无力，但数据支持术后运动功能恢复良好。手术方法似乎消除了神经内复发的风险，并将神经外复发的风险降到最低。《肌肉神经》57：989-993，2018。
