Skip to main content
SpringerLink
Log in

Periphere Nervenläsionen durch Gangliencysten

Peripheral nerve compression by ganglionic cysts

  • Original Investigations
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Summary

Extra- and intraneural ganglionic cysts rarely involve peripheral nerves. They are found in the neighbourhood of large joints. Intraneural cysts prefer the deep peroneal nerve and cause intermittent pain and severe nerve damage. The ulnar nerve is affected most often at the wrist. There are different types of distal motor and/or sensory ulnar palsy. Spontaneous recovery may take place and recurrences of intraneural cysts of the peroneal nerve occur after surgery.

Zusammenfassung

Extra- und intraneurale Gangliencysten kommen in der Nähe der großen Gelenke vor. Intraneurale Cysten finden sich fast ausschließlich am Abgang des N. fibularis profundus und haben häufig eine Verbindung zum Tibiofibulargelenk. Typisch ist die intermittierende belastungsabhängige Schmerzsymptomatik. Ganglien des Handgelenks betreffen in erster Linie den N. ulnaris mit verschiedenen motorischen und/oder sensiblen Lähmungstypen. Die Prognose ist unterschiedlich; es kommen sowohl Spontanheilungen als auch Rezidive vor.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Literatur

  1. Barber, K. W., Jr., Bianco, A. J., Jr., Soule, E. H., Mac Carthy, C. S.: Benign extraneural soft-tissue tumors of the extremities causing compression of nerves. J. Bone Jt Surg. 44-A, 98–104 (1962)

    Google Scholar 

  2. Brooks, D. M.: Nerve compression by simple ganglia. A review of thirteen collected cases. J. Bone Jt Surg. 34-B, 391–400 (1952)

    Google Scholar 

  3. Zum Busch, J. P.: Ganglion der Nervenscheide des Nervus ulnaris. Dtsch. med. Wschr. 48, 694 (1922)

    Google Scholar 

  4. Clark, K.: Ganglion of the lateral popliteal nerve. J. Bone Jt Surg. 43-B, 778 (1961)

    Google Scholar 

  5. Dubs, J.: Ganglion der Nervenscheide des N. ulnaris. Dtsch. med. Wschr. 48, 68 (1922)

    Google Scholar 

  6. Ebeling, P., Gilliatt, R. W., Thomas, P. K.: A clinical study of the ulnar nerve lesions in the hand. J. Neurol. Neurosurg. Psychiat. 23, 1–9 (1960)

    Google Scholar 

  7. Ellis, V. H.: Two cases of ganglia in the sheath of the peroneal nerve. Brit. J. Surg. 29, 141 (1936)

    Google Scholar 

  8. Ferguson, L. K.: Ganglion of the peroneal nerve. Ann. Surg. 106, 313 (1937)

    Google Scholar 

  9. Fromm, H., Krücke, W.: Intraneural and extraneural ganglionic cysts involving peripheral nerves. Excepta Med. Internat. Congr. Ser. 293, 221 (1973)

    Google Scholar 

  10. Gurdjian, E. S., Lassen, R. D., Lindner, D. W.: Intraneural cyst of the peroneal and ulnar nerves. J. Neurosurg. 23, 76–78 (1965)

    Google Scholar 

  11. Hayes, J. R., Mulholland, R. C., O'Connor, B. T.: Compression of the deep palmar branch of the ulnar nerve. J. Bone Jt Surg. 51-B, 469–472 (1969)

    Google Scholar 

  12. Jenkins, S. A.: Solitary tumours of peripheral nerve trunks. J. Bone Jt Surg. 34-B, 401 (1952)

    Google Scholar 

  13. Katz, M. R., Lenobel, M. J.: Intraneural ganglionic cyst of the peroneal nerve. Case report. J. Neurosurg. 32, 692–694 (1970)

    Google Scholar 

  14. Mallett, B. L., Zilkha, K. J.: Compression of the ulnar nerve at the wrist by a ganglion. Lancet 1955 I, 890–891

    Google Scholar 

  15. Mumenthaler, M.: Die Ulnarislähmung an der Handwurzel. Klinik und Therapie anhand von 30 eigenen Fällen. Schweiz. Arch. Neurol. Psychiat. 82, 229 (1958)

    Google Scholar 

  16. Nigst, H.: Kompressionssyndrom des N. ulnaris am Handgelenk. Schweiz. med. Wschr. 87, 320 (1957)

    Google Scholar 

  17. Parkes, A.: Intraneural ganglion of the lateral popliteal nerve. J. Bone Jt Surg. 43-B, 784 (1961)

    Google Scholar 

  18. Richmond, D. A.: Carpal ganglion with ulnar nerve compression. J. Bone Jt Surg. 45-B, 513 (1963)

    Google Scholar 

  19. Russel, W. R., Whittey, C. W. M.: Traumatic neuritis of the deep palmar branch of the ulnar nerve. Lancet 1947 I, 828

    Google Scholar 

  20. Seddon, H. J.: Carpal ganglion as a cause of paralysis of the deep branch of the ulnar nerve. J. Bone Jt Surg. 34-B, 386–390 (1952)

    Google Scholar 

  21. Shea, J. D., Mc Clain, E. J.: Ulnar nerve compression syndromes at and below the wrist. J. Bone Jt Surg. 51-A, 1095 (1969)

    Google Scholar 

  22. Spinner, M.: Injuries to the major branches of peripheral nerves of the forearm. Philadelphia-London-Toronto: W. B. Saunders Comp. 1972

    Google Scholar 

  23. Stack, R. F., Bianco, A. H., Jr., Mc Carthy, C. A.: Compression of the common peroneal nerve by ganglion cysts. Report of 9 cases. J. Bone Jt Surg. 47-A, 773–778 (1965)

    Google Scholar 

  24. Vanderpool, D. W., Chalmers, J., Lamb, D. W., Whiston, T. B.: Peripheral compression lesions of the ulnar nerve. J. Bone Jt Surg. 50-B, 792–803

Download references

Author information

Authors and Affiliations

  1. Neurochirurgische Abteilung des Chirurgischen Zentrums der Universität Heidelberg, Germany

    H. Assmus, A. Kühner & U. Hagenlocher

Authors
  1. H. Assmus
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Kühner
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. U. Hagenlocher
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Assmus, H., Kühner, A. & Hagenlocher, U. Periphere Nervenläsionen durch Gangliencysten. J. Neurol. 209, 131–137 (1975). https://doi.org/10.1007/BF00314606

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00314606

Key words

Search

Navigation