Elif AYDINLAR, Cihangir TETİK, Gökalp SILAV, Behram KAYA, Serdar ÖZGEN

Düşük ayağa yol açan, peroneal sinir komşuluğunda dev ekstranöral ganglion kisti olgusu

Peroneal sinirin ekstranöral ganglion kistlerine literaturde az rastlanmaktadır. Bu makalede bacakta ağrı ve düşük ayağa yol açan, peroneal sinire dışarıdan bası yapan, geniş çaplı bir ekstranöral ganglion kisti olgusu sunuldu. Elektromiyografi peroneal sinirin derin dal tutulumuna işaret etti. Manyetik rezonans görüntüleme ise tibiofibular eklem distalinde kistik bir lezyonu ortaya koydu. Ameliyat esnasında multimodal nörofizyolojik monitörizasyon yapıldı.Hastada kist tümüyle rezeke edildi. Ekstranöral peroneal ganglion kisti, ağrılı düşük ayak nedenleri arasında akla getirilmelidir.

Anahtar Kelimeler:

Düşük ayak, Ekstranöral ganglion, Kist, Peroneal sinir

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Extraneural ganglion cysts of the peroneal nerve have rarely been reported in the literature. This paper reports a large extraneural ganglion cyst compressing the peroneal nerve and causing pain in the leg, and foot drop. Electromyographic study revealed a deep peroneal nerve lesion, but the superficial branch was spared. Magnetic resonance imaging showed a cystic tumor located below the superior tibiofibular joint. A complete surgical resection was undertaken. During surgery multimodal intraoperative neurophysiological monitoring was performed. An extraneural ganglion cyst should be considered in the differential diagnosis of painful foot drop. Electrophysiological and radiological studies should be carried to rule out other causes of foot drop

Keywords:

Foot drop, Extraneural ganglion, Cyst, Peroneal nerve,

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