Intraneural Ganglion Cyst of the Peripheral Nerve: Two Cases Report

Tai-Seung Kim; Young-Hoon Jo; Seung-Sam Paik; Sung-Jae Kim

doi:10.5292/jkbjts.2013.19.2.83

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Kim, Jo, Paik, and Kim: Intraneural Ganglion Cyst of the Peripheral Nerve: Two Cases Report

Case Report

J Korean Bone Joint Tumor Soc 2013;19(2):83-86.

Published online: 10 January 2013

DOI: https://doi.org/10.5292/jkbjts.2013.19.2.83

Intraneural Ganglion Cyst of the Peripheral Nerve: Two Cases Report

Tai-Seung Kim, Young-Hoon Jo, Seung-Sam Paik^*, Sung-Jae Kim

Department of Orthopedic Surgery, Seoul, Korea

^*Department of Pathology, Hanyang University College of Medicine, Seoul, Korea

Correspondence to: Sung-Jae Kim Department of Orthopedic Surgery, Hanyang University College of Medicine, 17, Haengdang-dong, Seongdong-gu, Seoul 133-792, Korea TEL: 82-2-2290-8481 or 8485 FAX: +82-2-2290-3774 E-mail: sung1383@hanmail.net

Received 31 October 2013 Revised 27 November 2013 Accepted 29 November 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ganglion cysts that occurred within sheaths of peripheral nerves have been documented in literatures, but it is relatively rare condition. The peroneal nerve is the most common site of involvement. Other reported sites of involvement are the radial, ulnar, median, sciatic, tibial and posterior interosseous nerves. We report a case of the intraneual ganglion cyst within peroneal nerve and another case of the intraneural ganglion cyst within a medial plantar nerve that were successfully excised without neurologic complication.

Keywords: peroneal nerve, medial plantar nerve, intranerual ganglion

References

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Figure 1.

Sagittal T1 weighted (A), Sagittal T2 weighted (B) MR images show intraneural ganglion within medial plantar nerve (arrow).

Figure 2.

Light micrographs shows a fibrous connective tissue that is a portion of cyst wall (arrow). The cystic wall is not lined by synovial cells (H & E stain, ×100).

Figure 3.

T1 weighted axial (A), T2 weighted axial (B), T2 weighted sagittal (C) images show cystic lesion (arrow) along with the course of the common peroneal nerve.

Figure 4.

The common peroneal nerve (arrow) was compressed by an intraneural ganglion at the level of fibular head. Jelly like fluid was drained when incision was made at the cystic mass.

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