Hostname: page-component-745bb68f8f-g4j75 Total loading time: 0 Render date: 2025-01-22T11:40:27.332Z Has data issue: false hasContentIssue false
  • English
  • Français

Tibial Mononeuropathy from a Lower Limb Synovial Cyst

Published online by Cambridge University Press:  18 September 2015

J.C.L. Sun ,
C. Wallace  and
D.W. Zochodne
J.C.L. Sun
Affiliation:
Department of Clinical Neurosciences, The University of Calgary, Calgary
C. Wallace
Affiliation:
Department of Clinical Neurosciences, The University of Calgary, Calgary
D.W. Zochodne*
Affiliation:
Department of Clinical Neurosciences, The University of Calgary, Calgary
*
Department of Clinical Neurosciences, 3330 Hospital Drive N.W., Calgary, Alberta, Canada T2N 4N1
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Background

Tibial mononeuropathy due to compression by a synovial cyst is uncommon with fewer than 10 cases reported in the literature.

Method

Case Study.

Results

Tibial motor mononeuropathy with focal conduction block between the popliteal fossa and ankle was identified by electrophysiological testing. Magnetic resonance imaging and surgical exploration identified a synovial cyst compressing the nerve just distal to the popliteal fossa.

Conclusions

The combination of electrophysiological localization and imaging in cases of unexplained tibial mononeuropathy may identify an unexpected structural cause.

Résumé

Résumé<span class='italic'><span class='bold'>Introduction</span></span>

La mononeuropathie du nerf sciatique poplité interne due à une compression par un kyste synovial est peu fréquente, la littérature faisant état de dix cas seulement.

<span class='italic'><span class='bold'>Méthode</span></span>

Étude de cas.

<span class='italic'><span class='bold'>Résultat</span></span>

Une mononeuropathie du nerf sciatique poplité interne avec bloc de conduction en foyer entre le creux poplité et la cheville a été identifiée par une étude électrophysiologique. Un kyste synovial comprimant le nerf au-dessous du creux poplité a été identifié par imagerie par résonance magnétique et lors de la décompression chirurgicale.

<span class='italic'><span class='bold'>Conclusion</span></span>

La localisation électrophysiologique combinée à l’imagerie dans les cas de mononeuropathie du nerf sciatique poplité interne peut identifier une cause structurale inattendue.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 22 , Issue 4 , November 1995 , pp. 312 - 315
Copyright
Copyright © Canadian Neurological Sciences Federation 1995

References

REFERENCES

1. Groulier, P, Benaim, JL, Curvale, G, et al. Un cas de compression du nerf tibial postérieur par un kyste synovial développé aux dépens de l’articulation pérenéo-tibiale supérieure. Rev Chir Orthop Réparatrice Appar Mot 1987; 73(1): 67–69.Google Scholar
2. Kashani, SR, Moon, AH, Gaunt, WD. Tibial nerve entrapment by a Baker cyst: case report. Arch Phys Med Rehabil 1985; 66(1): 49–51.Google Scholar
3. Zygmunt, S, Keller, K, Lidgren, L. Baker cyst causing nerve entrapment. Scand J Rheumatol 1982; 11: 239–240.CrossRefGoogle ScholarPubMed
4. Nakano, KK. Entrapment neuropathy from Baker’s cyst. JAMA 1978; 239(2): 135.CrossRefGoogle ScholarPubMed
5. Muezono, M, Araki, M, Iwano, K. Case of tibial nerve palsy caused by Baker’s cyst. Iryo 1967; 21: 1479–1482.Google Scholar
6. Mahaley, MS Jr. Ganglion of the posterior tibial nerve. J Neurosurg 1974; 40: 120–124.Google Scholar
7. Friedlander, HL. Intraneural ganglion of the tibial nerve. J Bone Joint Surg Am 1967; 49: 519–522.CrossRefGoogle ScholarPubMed
8. Mastaglia, FL, Venerys, J, Stokes, BA, et al. Compression of the tibial nerve by the tendinous arch of origin of the soleus muscle. Clin Exp Neurol 1981; 18:81–86.Google Scholar
9. Costigan, D, Tindall, S, Rossi, J, et al. Tibial nerve entrapment by the tendinous arch of origin of the soleus muscle: diagnostic difficulties. Muscle and Nerve 1991; 14: 880.Google Scholar
10. Psathakis, D, Psathakis, N. Popliteal compression syndrome: an overproportional incidence. Vasa 1991; 20: 256–260.Google Scholar
11. Podore, PC. Popliteal entrapment syndrome: a report of tibial nerve entrapment. J Vase Surg 1985; 2: 335–336.CrossRefGoogle ScholarPubMed
12. Cantos-Melian, B, Arriaza-Loureda, R, Aisa-Varela, P. Tibialis posterior nerve schwannoma mimicking achilles tendinitis: ultrasonographic diagnosis. J Clin Ultrasound 1990; 18: 671–673.Google Scholar
13. Iyer, VG, Garretson, HD, Byrd, RP, Reiss, SJ. Localized hypertrophic mononeuropathy involving the tibial nerve. Neurosurgery 1988; 23:218–221.CrossRefGoogle ScholarPubMed
14. Bilbao, JM, Khoury, NJS, Hudson, AR, Briggs, SJ. Perineurioma (localized hypertrophic neuropathy). Arch Pathol Lab Med 1984; 108:557–560.Google ScholarPubMed
15. Mitsumoto, H, Wilbourn, AJ, Goren, H. Perineurioma as the cause of localized hypertrophic neuropathy. Muscle Nerve 1980; 3: 403–412.Google Scholar
16. Stewart, JD. The tibial, plantar, interdigital and sural nerves. In: Focal Peripheral Neuropathies. 2nd Edition. New York: Raven Press, 1993:367–385.Google Scholar