Peripheral neuropathies caused by ganglion cysts are rare, particularly in the lower extremities. The case of a 45-year-old man with a two-month history of foot drop and swelling in the region of the right fibular head is presented. Physical examination and electromyogram studies verified a peroneal nerve palsy. Magnetic resonance imaging revealed a lobulated, multilocular, cystic-appearing mass extending around the fibular neck. Surgical decompression of the nerve with removal of the mass and careful articular branch ligation was performed. Surgical pathology reports confirmed the diagnosis of a ganglion cyst. The patient regained full function within four months of the decompression. Pertinent findings on physical examination are discussed, as well as electromyogram and magnetic resonance imaging results. If symptoms persist, early surgical decompression (between the third and fourth months) is recommended.
ErkinG., UysalH., KelesI., AybayC., OzelS.. Acute ulnar neuropathy at the wrist: A case report and review of the literature.Rheumatol Int2006; 27: 191-6.
2.
StricklandJ.W., SteichenJ.B.. Nerve tumors of the hand and forearm.J Hand Surg [Am]1977; 2: 285-91.
3.
KerriganJ.J., BertoniJ.M., JaegerS.H.. Ganglion cysts and carpal tunnel syndrome.J Hand Surg [Am]1988; 13: 763-5.
4.
SultanC.. Ganglion der Nervenscheide des Nervus Peroneus.Zentralblatt fur Chirurgie1921; 48: 963-5.
5.
RamelliG.P., NagyL., TuncdoganE., MathisJ.. Ganglion cyst of the peroneal nerve: A differential diagnosis of peroneal nerve entrapment neuropathy.Eur Neurol1999; 41: 56-8.
6.
DucicI., DellonA.L., GrawK.S.. The clinical importance of variations in the surgical anatomy of the superficial peroneal nerve in the mid-third of the lateral leg.Ann Plast Surg2006; 56: 635-8.
7.
RyanW., MahonyN., DelaneyM., O'BrienM., MurrayP.. Relationship of the common peroneal nerve and its branches to the head and neck of the fibula.Clin Anat2003; 16: 501-5.
MontM.A., DellonA.L., ChenF., HungerfordM.W., KrackowK.A., HungerfordD.S.. The operative treatment of peroneal nerve palsy.J Bone Joint Surg Am1996; 78: 863-9.
10.
YilmazE., KarakurtL., SerinE., GüzelH.. [Peroneal nerve palsy due to rare reasons: A report of three cases].Acta Orthop Traumatol Turc2004; 38: 75-8.
11.
SangwanS.S., MaryaK.M., KunduZ.S., YadavV., DevganA., SiwachR.C.. Compressive peroneal neuropathy during harvesting season in Indian farmers.Trop Doct2004; 34: 244-6.
12.
SchulzeJ., TroegerH.. [Fibular nerve compression due to an unusual cause. A case report].Handchir Mikrochir Plast Chir2004; 36: 25-8.
13.
YamamotoN., KoyanoK.. Neurovascular compression of the common peroneal nerve by varicose veins.Eur J Vasc Endovasc Surg2004; 28: 335-8.
14.
ShaharE., LandauE., GeniziJ.. Adolescence peroneal neuropathy associated with rapid marked weight reduction: Case report and literature review.Eur J Paediatr Neurol2007; 11: 50-4.
15.
MahitchiE., Van LinthoudtD.. [Schwannoma of the deep peroneal nerve. An unusual presentation in rheumatology].Praxis (Bern 1994)2007; 96: 69-72.
16.
YangL.J., GalaV.C., McGillicuddyJ.E.. Superficial peroneal nerve syndrome: An unusual nerve entrapment. Case report.J Neurosurg2006; 104: 820-3.
17.
CebesoyO., TutarE., IsikM., ArpaciogluO.. A case of isolated giant plexiform neurofibroma involving all branches of the common peroneal nerve.Arch Orthop Trauma Surg2007; 127: 709-12.
DallariD., PellacaniA., MarinelliA., VerniE., GiuntiA.. Deep peroneal nerve paresis in a runner caused by ganglion at capitulum peronei. Case report and review of the literature.J Sports Med Phys Fitness2004; 44: 436-40.
20.
RawalA., RatnamK.R., YinQ., SinopidisC., FrostickS.P.. Compression neuropathy of common peroneal nerve caused by an extraneural ganglion: A report of two cases.Microsurgery.2004; 24: 63-6.
21.
ReinS., WeindelS., SchallerH.E., MittelbronnM., SchmidtG.. [Peroneal nerve palsy caused by a recurrent proximal tibiofibular joint ganglion – a case report and review of the literature].Handchir Mikrochir Plast Chir2005; 37: 267-75.
22.
AnselmiS.J.. Common peroneal nerve compression.J Am Podiatr Med Assoc2006; 96: 413-7.
DubuissonA.S., StevenaertA.. Recurrent ganglion cyst of the peroneal nerve: Radiological and operative observations. Case report.J Neurosurg1996; 84: 280-3.
27.
KhairallahE.W., WeinbergM.J., MahoneyJ.. Acute common peroneal nerve palsy caused by hemorrhage into a recurrent ganglion.Can J Plast Surg1995; 3: 209-12.
28.
SpinnerR.J., AtkinsonJ.L., ScheithauerB.W.Peroneal intraneural ganglia: The importance of the articular branch. Clinical series.J Neurosurg.2003; 99: 319-29.
