Clinical case of intraneural ganglion of the perenal nerve in pediatric neurosurgery
Abstract
Intraneural ganglion (IG) is a rare and poorly studied benign mucinous lesion within peripheral nerves in pediatric practice. We described a clinical case of IG of the peroneal nerve in a 16-year-old teenager. The most reliable instrumental method for diagnosing of IG is MRI. The best treatment result is provided by microsurgical removal of the IG with the identification and excision of the articular branch of the nerve.
About the Authors
A. A. ZavrazhnovaRussian Federation
St. Petersburg
A. P. Gerasimov
Russian Federation
St. Petersburg
Yu. M. Zabrodskaya
Russian Federation
St. Petersburg
M. R. Mamatkhanov
Russian Federation
St. Petersburg
N. E. Ivanova
Russian Federation
St. Petersburg
References
1. Spinner RJ , Vincent JF, Wolanskyj AP, Scheithauer BW Intraneural Ganglion Cyst: A 200-Year-Old Mystery Solved Clinical Anatomy 21:611–618 (2008). https://doi.org/10.1002/ca.20709
2. P anwar J, Mathew A, Thomas BP Cystic lesions of peripheral nerves: Are we missing the diagnosis of the intraneural ganglion cyst? World J Radiol 2017;9(5):230–44. https://doi.org/10.4329/wjr.v9.i5.230
3. D esy NM, Wang H, Elshiekh MA, Tanaka S, Choi TW, Howe BM and Spinner RJ Intraneural ganglion cysts: a systematic review and reinterpretation of the world’s literature. Journal of Neurosurgery Volume 125 (2016): Issue 3 (Sep 2016): Pages 525–786. https://doi.org/10.3171/2015.9.JNS141368.
4. Evzikov G. Y u., Bashlachev M . G ., Farafontov A. V ., Nikitin S. S., Grebenev F. V . Intraneural ganglion of the peroneal nerve: a report of 3 cases and literature review. Russian journal of neurosurgery. 2019;21(4):89–96. (In R uss.) https://doi.org/10.17650/1683‑3295‑2019‑21‑4–89–96]
5. Spinner RJ , Amrami KK, Wolanskyj AP, Desy NM, Wang H & Benarroch EE Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory. J Neurosurg 107:296–307, 2007 https://doi.org/10.3171/JNS‑07/08/0296
6. Akcakaya MO , Shapira Y, Rochkind S Peroneal and Tibial Intraneural Ganglion Cysts in Children Pediatr Neurosurg 2013;49:347–352 https://doi.org/10.1159/000368838
7. Arányi Z., Rosero M., Dévay K. E lectrophysiology and ultrasonograpy of acute intraneural peroneal nerve ganglion, Clinical Neurophysiology (2016) https://doi.org/10.1016/j.clinph.2016.04.002
8. Saltykova V . G ., Merkulov M . V . U ltrasound diagnostics of peripheral nerves tumour like lesions. Ultrazvukovaya i funktsionalnaya diagnostika Ultrasound and FunctionalDiagnostics 2011;(3):52–8. (In R uss.)
9. Adil A, Basener C and Checketts J Intraneural Synovial Cyst of the Common Peroneal Nerve: An Unusual Cause of Foot Drop with Four-Year Follow-Up Case Report. Open Access Volume 2019 Article https://doi.org/10.1155/2019/8045252
10. Iverson D.J. MR I detection of cysts of the knee causing common peroneal neuropathy. Neurology 2005;65(11):1829–31. https://doi.org/10.1212/01.wnl.0000187098.42938.b6
11. L isovski V and Minderis M Intraneural ganglion cyst: a case report and a review of the literature Acta Med Litu. 2019; 26(2): 147–151. https://doi.org/10.6001/actamedica.v26i2.4036
12. Apel PJ , Zielinski JA, Grider DJ , Brown RD , Orfield NJ Intraneural Peroneal Ganglion Cyst Excision in a Pediatric Patient: A Case Report. JBJS Case Connect Jan-Mar 2020; 10(1): e0272. https://doi.org/10.2106/JBJS.CC.19.00272
13. Aprin H, Weinberg J, Lustrin ES and Abrutyn D Peroneal Nerve Palsy Due to an Intraneural Ganglion: A Case Report of a 4 1 /2-Year-Old Boy Am J Orthop. 2007; 36(3): E 40-E 4 https://doi.org/10.3171/2015.9.JNS141368
14. Spinner RJ , Scheithauer BW, Amrami KK. The unifying articular (synovial) origin of intraneural ganglia: evolution-revelationrevolution. Neurosurgery. 15. 2009; 65(suppl 4): A115-A124. https://doi.org/10.1227/01.NEU.0000346259.84604.D4
15. M igonis A, Murano R Jr, Stillman I. E ., Iorio M, Giurini JM . A Case Report and Literature Review: Intraneural Ganglion Cyst Causing Tarsal Tunnel Syndrome. J Foot Ankle Surg. 2019 Jul;58(4):795–8 https://doi.org/10.1053/j.jfas.2018.11.018
16. Spinner RJ , Desy NM, Rock MG , Amrami KK. Peroneal intraneural ganglia. Part I. Techniques for successful diagnosis and treatment. Neurosurg Focus. 2007; 22: E 16. https://pubmed.ncbi.nlm.nih.gov/17613207/
17. Spinner RJ , Atkinson JL , Tiel RL . Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory. J Neurosurg. 2003 Aug;99(2):330–43. https://doi.org/10.3171/jns.2003.99.2.0330
18. Consales A., Pacetti M, Imperato A, Valle M, Cama A. Intraneural Ganglia of the Common Peroneal Nerve in Children: Case Report and Review of the Literature World Neurosurg. (2016)86:510.e11–510.e https://doi.org/10.1016/j.wneu.2015.10.023
Review
For citations:
Zavrazhnova A.A., Gerasimov A.P., Zabrodskaya Yu.M., Mamatkhanov M.R., Ivanova N.E. Clinical case of intraneural ganglion of the perenal nerve in pediatric neurosurgery. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(1-2):143-147. (In Russ.)