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[Peripheral nerve compression by ganglionic cysts (author's transl)].

H Assmus, A Kühner, U Hagenlocher

    Journal of Neurology
    |June 9, 1975
    PubMed
    Summary

    Ganglionic cysts rarely affect peripheral nerves, often impacting the deep peroneal and ulnar nerves. These cysts can cause significant nerve damage, pain, and may recur after surgery.

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    Area of Science:

    • Neurology
    • Peripheral Nerve Surgery
    • Orthopedics

    Context:

    • Ganglionic cysts are uncommon in peripheral nerves, typically occurring near large joints.
    • Intraneural cysts predominantly affect the deep peroneal nerve, leading to nerve damage and pain.
    • The ulnar nerve, particularly at the wrist, is another common site for these cysts, presenting as ulnar palsy.

    Purpose:

    • To review the characteristics and clinical presentation of extra- and intraneural ganglionic cysts affecting peripheral nerves.
    • To highlight the predilection of intraneural cysts for the deep peroneal nerve and their association with severe nerve damage.
    • To discuss the varied presentations of ulnar nerve involvement at the wrist and the potential for spontaneous recovery.

    Summary:

    • Extra- and intraneural ganglionic cysts are rare but can cause significant peripheral nerve dysfunction.
    • The deep peroneal nerve is a common site for intraneural cysts, leading to intermittent pain and severe nerve damage.
    • Ulnar nerve involvement at the wrist can manifest as distal motor and/or sensory ulnar palsy, with possibilities of spontaneous recovery and recurrence.

    Impact:

    • This review provides insights into the diagnosis and management of peripheral nerve ganglionic cysts.
    • Understanding the specific nerve involvement (deep peroneal, ulnar) aids in predicting clinical outcomes.
    • Awareness of potential recurrences after surgery is crucial for patient management and follow-up.

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