Compression of common peroneal nerve caused by an extraneural ganglion cyst mimicking intermittent claudication

Abstract Peripheral neuropathies caused by ganglion cysts are rare. They seldom cause serious complications especially in the lower extremities. The case was a 51-year-old woman referred by her physician to the vascular surgeon with diagnosis including intermittent (vascular) claudication and deep v...

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Bibliographic Details
Published in:Journal of brachial plexus and peripheral nerve injury Vol. 8; no. 1; pp. e33 - e35
Main Authors: Ozden, Raif, Uruc, Vedat, Kalacı, Aydıner, Dogramacı, Yunus
Format: Journal Article
Language:English
Published: United States Ozden et al.; licensee BioMed Central Ltd 30-05-2013
Thieme Medical Publishers Inc
BioMed Central Ltd
BioMed Central
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Summary:Abstract Peripheral neuropathies caused by ganglion cysts are rare. They seldom cause serious complications especially in the lower extremities. The case was a 51-year-old woman referred by her physician to the vascular surgeon with diagnosis including intermittent (vascular) claudication and deep venous thrombosis. Primarily vascular surgeon performed a doppler ultrasound of the lower extremity and calculation of the ankle-brachial index. There were no abnormal pathological findings. Careful physical examination revealed soft swelling and tenderness around the fibular head and neck. Weakness was observed in foot eversion and dorsiflexion. There was pain and tingling in the distribution of the peroneal nerve. and referring the patient to orthopedic surgeon owing to concern for a potential compressive lesion at the right proximal tibiofibular region. Electromyogram studies and physical examination confirmed a diagnosis of compression neuropathy of common peroneal nerve. Magnetic resonance imaging revealed a fluid-filled, lobulated mass indicating a ganglion cyst. One months after decompression, the patient had no complaint. Fast diagnosis and immediate management are essential to regain best possible recovery.
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ISSN:1749-7221
1749-7221
DOI:10.1186/1749-7221-8-5