Intraneural mucoid cysts are uncommon. They usually affect middle-aged men, presenting with pain and symptoms of nerve compression. We report on our series of six patients, three of whom had cysts involving the digital nerves. We compare our series with others and discuss controversies concerning the existence, aetiology, treatment and outcome of these cysts. We believe MR scans can aid in the preoperative diagnosis and follow-up of these patients and that, if possible, careful cyst excision using an operative microscope is the treatment of choice.
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http://dx.doi.org/10.1016/s0266-7681(97)80454-8 | DOI Listing |
Acta Neurochir (Wien)
February 2019
Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
Background: In patients with persistent symptoms of meralgia paresthetica, a neurectomy of the lateral femoral cutaneous nerve (LFCN) can be performed to alleviate pain symptoms. The neurectomy procedure can be performed either as a primary procedure or after failure of a previously performed neurolysis or decompression of the LFNC (secondary neurectomy). The goal of the present study was to quantify the histopathologic changes inside the LFCN obtained from patients with persistent symptoms of meralgia paresthetica, and specifically to compare to what extend these changes are present after primary versus secondary neurectomy.
View Article and Find Full Text PDFSkeletal Radiol
December 2017
Radiology & Orthopaedic Surgery, UT Southwestern, Dallas, TX, USA.
Extra- and intraneural ganglion cysts have been described in the literature. The tibial nerve ganglion is uncommon and its occurrence without intra-articular extension is atypical. The pathogenesis of cystic degeneration localized to connective and perineural tissue secondary to chronic mechanical irritation or idiopathic mucoid degeneration is hypothesized.
View Article and Find Full Text PDFHand Surg Rehabil
October 2016
CIM SA, centre d'imagerie médicale, 40a, route de Malagnou, 1208 Geneva, Switzerland. Electronic address:
The diagnosis of nerve tumor(s) must be suspected in all cases of tumefaction or pain on the path of a nerve exacerbated by percussion. Solitary nerve tumors are primarily schwannomas, but other rare tumors may be present such as intraneural ganglion cysts of controversial origin. Preservation of nerve continuity is the underlying goal for any surgical procedure, irrespective of the type of tumor.
View Article and Find Full Text PDFHand (N Y)
September 2011
Division of Plastic Surgery, University of Missouri, One Hospital Drive, Columbia, MO 65212 USA.
We report a case of a 69-year-old male who presented with pain, weakness, and clumsiness of his right hand. Initial evaluation suggested possible neoplastic process affecting his cervical spine, which was fortunately ruled out by bone biopsy. Subsequent electrodiagnostic studies and magnetic resonance imaging confirmed a lesion of the deep ulnar motor branch.
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