title: Peroneal and tibial intraneural ganglion cysts in children.
abstract: OBJECTIVE
  Intraneural ganglion cyst is a rare and underrecognized clinical entity in the pediatric population, which may cause pain as well as motor and sensory neurological deficits. This study presents 4 pediatric patients harboring ganglion cysts involving the peroneal and tibial nerves.
  
  
  METHODS
  Data encompassing pre- and postoperative analyses of 4 pediatric patients with intraneural ganglion cyst was evaluated.
  
  
  RESULTS
  Out of these 4 patients, 3 had an intraneural ganglion cyst involving the peroneal nerve, and 1 patient had his tibial nerve involved. Two patients were operated for recurrent ganglion cysts with severe postoperative neurological deficits, after preceding operations in other institutions. The other 2 patients had no history of previous surgery, and they had their initial surgical treatment in our institute for primarily diagnosed ganglion cysts. With a mean follow-up of 24 months, all patients experienced pain relief. Significant improvement of motor deficits was achieved in 3 patients. No recurrences were encountered during the 24-month follow-up.
  
  
  CONCLUSIONS
  Intraneural ganglion cysts in children can be treated with excellent outcome in experienced and dedicated centers, which specialize in peripheral nerve microsurgery.
authors.forename: Mehmet Osman
authors.initials: MO
authors.lastname: Akcakaya
authors.forename: Yuval
authors.initials: Y
authors.lastname: Shapira
authors.forename: Shimon
authors.initials: S
authors.lastname: Rochkind
mesh_terms: D000293:Adolescent; D002648:Child; D005500:Follow-Up Studies; D045888:Ganglion Cysts / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D009069:Movement Disorders / Q000209:etiology / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D020427:Peroneal Neuropathies / Q000150:complications / Q000601:surgery*; D020429:Tibial Neuropathy / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome