Deep Peroneal Nerve Palsy Caused by an Extraneural Ganglion Cyst: A Rare Case

Lower extremities peripheral neuropathies caused by ganglion cysts are rare. The most frequent location of occurrence is the common peroneal nerve and its branches, at the level of the fibular neck. We report the case of a 57-year-old patient admitted with foot drop, due to an extraneural ganglion o...

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Main Authors: Dimitrios Nikolopoulos, George Safos, Neoptolemos Sergides, Petros Safos
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/861697
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author Dimitrios Nikolopoulos
George Safos
Neoptolemos Sergides
Petros Safos
author_facet Dimitrios Nikolopoulos
George Safos
Neoptolemos Sergides
Petros Safos
author_sort Dimitrios Nikolopoulos
collection DOAJ
description Lower extremities peripheral neuropathies caused by ganglion cysts are rare. The most frequent location of occurrence is the common peroneal nerve and its branches, at the level of the fibular neck. We report the case of a 57-year-old patient admitted with foot drop, due to an extraneural ganglion of the upper tibiofibular syndesmosis, compressing the deep branch of the peroneal nerve. Although there have been many previous reports of intraneural ganglion involvement with the lower limb nerves, to our knowledge, this is the second reported occurrence of an extraneural ganglion distinctly localized to the upper tibiofibular syndesmosis and palsying deep peroneal nerve. The diagnosis was made preoperatively using MRI. The common peroneal nerve and its branches were recognized and traced to its bifurcation during the operation, and the ganglion cyst was removed. Two months after surgery, the patient was pain-free and asymptomatic except for cutaneous anesthesia in the distribution of the deep peroneal nerve.
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spelling doaj-art-f6f0119fec2346ad983a5428c192749b2025-02-03T06:15:11ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/861697861697Deep Peroneal Nerve Palsy Caused by an Extraneural Ganglion Cyst: A Rare CaseDimitrios Nikolopoulos0George Safos1Neoptolemos Sergides2Petros Safos3Orthopaedic Department, Central Clinic of Athens, 31 Asklepiou Street, 10680 Athens, GreeceOrthopaedic Department, Central Clinic of Athens, 31 Asklepiou Street, 10680 Athens, GreeceOrthopaedic Department, Central Clinic of Athens, 31 Asklepiou Street, 10680 Athens, GreeceOrthopaedic Department, Ikaria General Hospital, 83302 Ikaria, GreeceLower extremities peripheral neuropathies caused by ganglion cysts are rare. The most frequent location of occurrence is the common peroneal nerve and its branches, at the level of the fibular neck. We report the case of a 57-year-old patient admitted with foot drop, due to an extraneural ganglion of the upper tibiofibular syndesmosis, compressing the deep branch of the peroneal nerve. Although there have been many previous reports of intraneural ganglion involvement with the lower limb nerves, to our knowledge, this is the second reported occurrence of an extraneural ganglion distinctly localized to the upper tibiofibular syndesmosis and palsying deep peroneal nerve. The diagnosis was made preoperatively using MRI. The common peroneal nerve and its branches were recognized and traced to its bifurcation during the operation, and the ganglion cyst was removed. Two months after surgery, the patient was pain-free and asymptomatic except for cutaneous anesthesia in the distribution of the deep peroneal nerve.http://dx.doi.org/10.1155/2015/861697
spellingShingle Dimitrios Nikolopoulos
George Safos
Neoptolemos Sergides
Petros Safos
Deep Peroneal Nerve Palsy Caused by an Extraneural Ganglion Cyst: A Rare Case
Case Reports in Orthopedics
title Deep Peroneal Nerve Palsy Caused by an Extraneural Ganglion Cyst: A Rare Case
title_full Deep Peroneal Nerve Palsy Caused by an Extraneural Ganglion Cyst: A Rare Case
title_fullStr Deep Peroneal Nerve Palsy Caused by an Extraneural Ganglion Cyst: A Rare Case
title_full_unstemmed Deep Peroneal Nerve Palsy Caused by an Extraneural Ganglion Cyst: A Rare Case
title_short Deep Peroneal Nerve Palsy Caused by an Extraneural Ganglion Cyst: A Rare Case
title_sort deep peroneal nerve palsy caused by an extraneural ganglion cyst a rare case
url http://dx.doi.org/10.1155/2015/861697
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