Intraneural Ganglion of Peroneal Nerve: A Case Report and Review of Literature

腓神經內腱鞘囊腫：病例報告及文獻回顧

侯憲棋(Hsian-Chi Hou) ； 董光義(Kwang-Yi Tung) ； 蕭弘道(Hung-Tao Hsiao)

《中華民國整形外科醫學會雜誌》 16卷1期 (2007/03) Pp. 92-98

https://doi.org/10.7096/JPSA.200703.0092

摘要

神經內腱鞘囊腫是一種在文獻中不常見的疾病，其確定的治病機轉仍不是很清楚。在曾報告過的病例中，最常見的發病處為腓總神經。此疾病可導致淺腓神經及深腓神經的神經病變，包括踝關節背屈曲漸行性的衰弱，腓骨頭處疼痛、壓痛及小腿前外側至足背的感覺異常。臨床上的病程有可能在保守性醫療後暫時性改善而產生變動，而如果缺乏正確的診斷及早期的介入治療，儘管最後進行手術治療，也可能導致嚴重的後遺症。我們在此報告一位神經症狀出現三年前有膝挫傷及踝扭傷外傷病史，並懷疑其跟右側腓總神經的產生有關的成年女性患者，患者接受神經內建鞘囊腫顯微手術切除，一年後的追蹤之後顯示有部分神經功能的恢復，同時我們也重新探討相關的文獻。

並列摘要

Intraneural ganglion was a less common disease in the literature. The exact pathologic mechanism was still unclear. Among the cases presented before, the most common site of such lesion was common peroneal nerve. It caused signs and symptoms of neuropathy of affected superficial and deep peroneal nerve, including progressive weakness in dorsiflexion of the ankle, pain and tenderness around fibular head and paresthesia radiating to anterolateral surface of the lower leg as well as the dorsum of foot. The clinical course might fluctuate after conservative treatment, and if not diagnosed and treated early, it might eventually cause serious sequelae despite aggressive surgical intervention later on. We herein present a female adult with history of minor trauma with right knee contusion and right ankle sprain 3 years before the development of neurological symptoms. The trauma history was suspected to be related to the development of an intraneural ganglion of right common peroneal nerve over popliteal area. Excision of the intraneural ganglion cyst was performed and 1 year follow up revealed partial recovery of motor function of deep peroneal nerve. The literature is also reviewed.

並列關鍵字

intraneural ganglion cyst ； peroneal nerve