DiRisio D, Lazaro R, Popp A J
Division of Neurosurgery, Albany Medical College, New York.
Neurosurgery. 1994 Aug;35(2):333-4; discussion 334. doi: 10.1227/00006123-199408000-00026.
An unusual case of leg pain and atrophy in a patient with gastrocnemius due to tibial nerve branch compression by a Baker's cyst is presented. The clinical findings and electrodiagnostic studies were supportive of isolated medial gastrocnemius denervation. Treatment by synovectomy along with decompression of the branch of the posterior tibial nerve to the medial head of the gastrocnemius muscle resulted in clinical improvement. No other cases of such selective branch compression have been previously reported.
本文报告了一例不寻常的病例，患者因贝克囊肿压迫胫神经分支导致腓肠肌疼痛和萎缩。临床检查结果和电诊断研究支持单纯内侧腓肠肌失神经支配。通过滑膜切除术以及对胫后神经至腓肠肌内侧头分支进行减压治疗后，临床症状得到改善。此前尚无其他关于这种选择性分支受压的病例报道。
