Skip to main content

Advertisement

Log in

Cystic degeneration of the tibial nerve: magnetic resonance neurography and sonography appearances of an intraneural ganglion cyst

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Extra- and intraneural ganglion cysts have been described in the literature. The tibial nerve ganglion is uncommon and its occurrence without intra-articular extension is atypical. The pathogenesis of cystic degeneration localized to connective and perineural tissue secondary to chronic mechanical irritation or idiopathic mucoid degeneration is hypothesized. Since the above pathology is extremely rare and the magnetic resonance imaging examination detects the defining characteristics of the intrinsic alterations of the tibial nerve, the authors illustrate such a case of tibial intaneural ganglion cyst with its magnetic resonance neurography and sonography appearances.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Kim DH, Ryu S, Tiel RL, Kline DG. Surgical management and results of 135 tibial nerve lesions at the Louisiana State University Health Sciences Center. Neurosurgery. 2003;53(5):1114–24.

    Article  PubMed  Google Scholar 

  2. Patel P, Schucany WG. A rare case of intraneural ganglion cyst involving the tibial nerve. Proc (Bayl Univ Med Cent). 2012;25(2):132–5.

    Google Scholar 

  3. Chalian M, Soldatos T, Faridian-Aragh N, Williams EH, Rosson GD, Eng J, et al. 3T magnetic resonance neurography of tibial nerve pathologies. J. Neuroimaging. 2013;23(2):296–310.

    Article  PubMed  Google Scholar 

  4. Adn M, Hamlat A, Morandi X, Guegan Y. Intraneural ganglion cyst of the tibial nerve. Acta Neurochir (Wien). 2006;148(11):885–90.

    Article  CAS  Google Scholar 

  5. Wilson TJ, Hébert-Blouin MN, Murthy NS, García JJ, Amrami KK, Spinner RJ. The nearly invisible intraneural cyst: a new and emerging part of the spectrum. Neurosurg Focus. 2017;42(3):E10.

    Article  PubMed  Google Scholar 

  6. Chhabra A, Williams EH, Subhawong TK, Hashemi S, Soldatos T, Wang KC, et al. MR neurography findings of soleal sling entrapment. AJR Am J Roentgenol. 2011;196(3):W290–7.

    Article  PubMed  Google Scholar 

  7. Junqueira LC, Carneiro J. Histologia Básica. 12° edition. Guanabara Koogan; 2013.

  8. Kraychete CD, Sakata KR. Neuropatias periféricas dolorosas. Rev Bras Anestesiol. 2011;61(5):649–58. doi:10.1590/S0034-70942011000500014.

    Article  Google Scholar 

  9. Hochman MG, Zilberfarb JL. Nerves in a pinch: imaging of nerve compression syndromes. Radiol Clin N Am. 2004;42(1):221–45. doi:10.1016/S0033-8389(03)00162-3.

    Article  PubMed  Google Scholar 

  10. Prasad NK, Desy NM, Howe BM, Amrami KK, Spinner RJ. Subparaneurial ganglion cysts of the fibular and tibial nerves: a new variant of intraneural ganglion cysts. Clin Anat. 2016;29(4):530–7.

    Article  PubMed  Google Scholar 

  11. Martins SR, Martinez JP, de Aguiar PH, Nakagawa E, Tedesco Marchese JA. Cisto sinovial intraneural do nervo fibular: relato de caso. Arq Neuro-Psiquiatr. 1977;55(4):831–3. doi:10.1590/S0004-282X1997000500022.

    Article  Google Scholar 

  12. Vandenbulcke R, Marrannes J, Vandenbulcke B, Herman M, Laridon E, Van Holsbeeck B. Intraneural ganglion cyst of the tibial nerve. J Belgian Soc Radiol. 2015;99(1):125–6. doi:10.5334/jbr-btr.860.

    Article  Google Scholar 

  13. Suk IJ, Walker OF, Cartwright SM. Ultrasound of peripheral nerves. Curr Neurol Neurosci. 2014; 13 (2): 328. doi: 10.1007/s11910-012-0328-x.

  14. Chhabra A, Flammang A, Padua A Jr, Carrino JA, Andreisek G. Magnetic resonance neurography: technical considerations. Neuroimaging Clin N Am. 2014;24(1):67–78.

    Article  PubMed  Google Scholar 

  15. Spinner RJ, Atkinson JL, Harper CM Jr, Wenger DE. Recurrent intraneural ganglion cyst of the tibial nerve. J Neurosurg. 2000;92(2):334–7.

    Article  CAS  PubMed  Google Scholar 

  16. Petchprapa CN, Rosenberg ZS, Sconfienza LM, Cavalcanti CF, Vieira RL, Zember JS. MR imaging of entrapment neuropathies of the lower extremity. Part 1. The pelvis and hip. Radiographics. 2010;30(4):983–1000.

    Article  PubMed  Google Scholar 

  17. Takahara T, Hendrikse J, Yamashita T, Willem P, Mali MT, Kwee CT, et al. Diffusion-weighted MR neurography of the brachial plexus: Feasibility study. Radiology. 2008;249(2):653–60. doi:10.1148/radiol.2492071826.

    Article  PubMed  Google Scholar 

  18. Andreou A, Sohaib A, Collins DJ, Takaraha T, Kwee TC, Leach MO, et al. Diffusion-weighted MR neurography for the assessment of brachial plexopathy in oncological practice. Cancer Imag. 2015;15(1):6.

    Article  Google Scholar 

  19. Takahara T, Iman Y, Yamashita T, Yasuda S, Nasu S, Cauteren M. Diffusion weighted whole body imaging with background body signal suppression (DWIBS): technical improvement using free breathing, STIR and high resolution 3D display. Radiat Med. 2004;22(4):275–82.

    PubMed  Google Scholar 

  20. Ahlawat S, Chhabra A, Blakely J. Magnetic resonance neurography of peripheral nerve tumors and tumorlike conditions. Neuroimaging Clin N Am. 2014;24(1):171–92.

    Article  PubMed  Google Scholar 

  21. Thakkar RS, Del Grande F, Thawait GK, et al. Spectrum of high-resolution MRI findings in diabetic neuropathy. AJR Am J Roentgenol. 2012;199(2):407–12.

    Article  PubMed  Google Scholar 

  22. Leal Filho MB, Aguiar AAX, Almeida BR, et al. Schwanoma de plexo braquial: relato de dois casos. Arq. Neuro-Psiquiatr. 2004; 62 (1): 162-166.

  23. Chung WJ, Chung HW, Shin MJ, et al. MRI to differentiate benign from malignant soft-tissue tumours of the extremities: a simplified systematic imaging approach using depth, size and heterogeneity of signal intensity. Br J Radiol. 2012;85:e831–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Desy NM, Lipinski LJ, Tanaka S, et al. Recurrent intraneural ganglion cysts: pathoanatomic patterns and treatament inplications. Clin Anatomy. 2015;28:1058–69.

    Article  Google Scholar 

Download references

Acknowledgements

The authors of this article declare that they have no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cláudio Régis Sampaio Silveira.

Ethics declarations

Disclosures

A. Chhabra receives royalties from Wolters and Jaypee. A. Chhabra also serves as a consultant with ICON Medical.

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Silveira, C.R.S., Vieira, C.G.M., Pereira, B.M. et al. Cystic degeneration of the tibial nerve: magnetic resonance neurography and sonography appearances of an intraneural ganglion cyst. Skeletal Radiol 46, 1763–1767 (2017). https://doi.org/10.1007/s00256-017-2753-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-017-2753-z

Keywords

Navigation