Intraneural ganglion cysts: a case of sciatic nerve involvement.
The pathogenesis of intraneural ganglion cysts is unknown. Some authors have established a connection between the cysts and the joint, while others have failed to find this communication. Most intraneural ganglion cysts occur in the proximity of a joint. We present the case of a 53-year-old Caucasian male with an intraneural cyst of the sciatic nerve located high above its bifurcation and without a connection to the joint. The lesion was microsurgically removed in toto. There was no recurrence of the cyst at follow-up 9 months postoperatively; complete resolution of the clinical symptoms occurred within 8 months of surgery. This case shows that ganglion cysts can occur in locations far from a joint, supporting the extra-articular embryonic synovial remnant theory of their genesis.
Krishnan
Kartik G
KG
Department of Neurological Surgery, Carl Gustav Carus University Hospital, Technical University of Dresden, Fetscherstrasse 74, D-01307, Dresden, Germany.
Schackert
Gabriele
G
D003560:Cysts / Q000473:pathology* / Q000601:surgery; D005724:Ganglia / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D020426:Sciatic Neuropathy / Q000473:pathology* / Q000601:surgery; D013848:Thigh; D016896:Treatment Outcome