Cisto sinovial intraneural do nervo fibular: relato de caso

Martins, Roberto Sergio; Martinez, Jorge; Aguiar, Paulo Henrique P. de; Nakagawa, Edison; Tedesco-Marchese, João Antônio

doi:10.1590/S0004-282X1997000500022

Resumos

Os autores apresentam um caso de um cisto sinovial intraneural ocorrendo no nervo fibular comum. O paciente apresentou-se com quadro de dor e dificuldade para a flexão dorsal e eversão do pé sendo submetido a exploração cirúrgica com exérese do cisto. Neste estudo são discutidos a patogênese, manifestações clínicas e tratamento desta rara lesão.

nervo fibular; cisto sinovial intraneural; nervo periférico

The authors report the case of an intraneural synovial cyst of the peroneal nerve. The initial symptom was pain and weakness of dorsiflexion and eversion of the right foot. The patient was operated on and the cyst was totally resected. The authors discuss the pathogenesis, clinical diagnosis as well as the treatment of that uncommon lesion.

peroneal nerve; ganglion cyst, intraneural synovial cyst; peripheral nerve

Cisto sinovial intraneural do nervo fibular: relato de caso

Intraneural synovial cyst of the peroneal nerve: case report

Roberto Sergio Martins^I; Jorge Martinez^II; Paulo Henrique P. de Aguiar^III; Edison Nakagawa^III; João Antônio Tedesco-Marchese^IV

^IDisciplina de Neurocirurgia, Departamento de Neurologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP): Médico-Preceptor

^IIDisciplina de Neurocirurgia, Departamento de Neurologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP): Residente

^IIIDisciplina de Neurocirurgia, Departamento de Neurologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP): Médico-Assistente

^IVDisciplina de Neurocirurgia, Departamento de Neurologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP): Professor Assistente Doutor

RESUMO

Os autores apresentam um caso de um cisto sinovial intraneural ocorrendo no nervo fibular comum. O paciente apresentou-se com quadro de dor e dificuldade para a flexão dorsal e eversão do pé sendo submetido a exploração cirúrgica com exérese do cisto. Neste estudo são discutidos a patogênese, manifestações clínicas e tratamento desta rara lesão.

Palavras-chave: nervo fibular, cisto sinovial intraneural, nervo periférico.

ABSTRACT

The authors report the case of an intraneural synovial cyst of the peroneal nerve. The initial symptom was pain and weakness of dorsiflexion and eversion of the right foot. The patient was operated on and the cyst was totally resected. The authors discuss the pathogenesis, clinical diagnosis as well as the treatment of that uncommon lesion.

Key words: peroneal nerve, ganglion cyst, intraneural synovial cyst, peripheral nerve.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 22-julho-1997.

Dr. Roberto Sergio Martins - Divisão de Clínica Neurológica, Hospital das Clínicas, FMUSP - Av. Dr. Enéas de Carvalho Aguiar 255 - 05403-000 São Paulo SP - Brasil.

1. Brooks DM. Nerve compression by simple ganglia: a review of thirteen collected cases. J Bone Joint Surg 1952;34:39I-400.
2. Clark K. Ganglion of the lateral popliteal nerve. J Bone Joint Surg 1961,43:778-783.
3. Cobb CA, Moiel RH. Ganglion of the peroneal nerve: report of two cases. J Neurosurg 1974;41:255-259.
4. Eiras J, Cosamalón PJ. Intraneural ganglion of the common peroneal nerve. Neurochirurgia 1979;22:145-150.
5. Fransen P, Thauvoy C, Sindic CJM, Stroobandt G. Intraneural ganglionic cyst of the common peroneal nerve: case report and review of the literature. Acta Neurol Belg 1991;91:231-235.
6. Gambari PI, Giuliani G, Poppi M, Pozzati E. Ganglionic cysts of the peroneal nerve at the knee: CT and surgical correlation. J Comput Assist Tomogr 1990,14:801-803.
7. Ghossain M, Mohasseb G, Dagher F, Ghossain A. Compression du nerf sciatique poplite externe par un kyste synovial. Neurochirurgie 1987;33:412-414.
8. Gurdjian ES, Larsen RD, Lindner DW. Intraneural cyst of the peroneal and ulnar nerves: report of two cases. J Neurosurg 1965;23:76-78.
9. Jenkis SA. Solitary tumors of the peripheral nerve trunks. J Bone Joint Surg 1952;34:401-411.
10. Jensen DR. Ganglia and synovial cysts. Ann Surg 1937;105:592.
11. Katz MR, Lenobel MI. Intraneural ganglionic cyst of the peroneal nerve: a case report. J Neurosurg 1970;32:692-694.
12. Leijten FSS, Willem-Frans A, Puylaert JBCM. Ultrasound diagnosis of an intraneural ganglion cyst of the peroneal nerve: case report. J Neurosurg 1992;76:538-540.
13. Leon J, Maraño G. MRI of peroneal nerve entrapment due to a ganglion cyst. Magn Reson Imag 1987;5:307-309.
14. Masciocchi C, Innacoli M, Cisternino S, Barile A, Rossi F, Passariello R. Myxoid intraneural cysts of external popliteal ischiadic nerve: report of 2 cases studied with ultrasound, computed tomography and magnetic resonance imaging. Eur J Radiol 1992;14:52-55.
15. Muckart RD. Compression of the common peroneal nerve by intramuscular ganglion from the superior tibio-fibular joint. J Bone Joint Surg 1976;58:241-244.
16. Nicholson TR, Cohen RC, Grattan-Smith PJ. Intraneural ganglion of the common peroneal nerve in a 4-year-old boy. J Child Neurol 1995;10:213-215.
17. Nucci F, Ártico M, Santoro A. Intraneural synovial cyst of the peroneal nerve: report of two cases and review of the literature. Neurosurg 1990;26:339-344
18. Parkes A. Intraneural ganglion of the lateral popliteal nerve. J Bone Joint Surg 1961 ;43:784-790.
19. Pazzaglia UE, Pedrotti L, Finardi E. Kyste synovial intranerveux du nerf sciatique poplite externe. Acta Orthop Belg 1989;55:253-256.
20. Robert R, Resche F, Lajat Y, Tholouzan E, De Kersaint-Gilly A, Descuns P. Kyste synovial intraneural du nerf SPE. Neurochirurgie 1980;26:135-143.
21. Rondepierre P, Martini L, Wannin G, Floquet J. Kyste intraneural: une cause rare de paralysie du nerf sciatique poplité externe. Rev Neurol (Paris) 1990;146:375-376.
22. Scherman BM, Bilbao JM, Hudson AR, Briggs SJ. Intraneural ganglion: a case report with electron microscopic observations. Neurosurgery 1981;8:487-490.
23. Tatagiba M, Penkert G, Samii M. Ganglien peripherer Nerven. Zentralbl Neurochir 1993;54:171-173.

Datas de Publicação

Publicação nesta coleção
07 Out 2010
Data do Fascículo
1997

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Brooks DM. Nerve compression by simple ganglia: a review of thirteen collected cases. J Bone Joint Surg 1952;34:39I-400.

[2] 2. Clark K. Ganglion of the lateral popliteal nerve. J Bone Joint Surg 1961,43:778-783.

[3] 3. Cobb CA, Moiel RH. Ganglion of the peroneal nerve: report of two cases. J Neurosurg 1974;41:255-259.

[4] 4. Eiras J, Cosamalón PJ. Intraneural ganglion of the common peroneal nerve. Neurochirurgia 1979;22:145-150.

[5] 5. Fransen P, Thauvoy C, Sindic CJM, Stroobandt G. Intraneural ganglionic cyst of the common peroneal nerve: case report and review of the literature. Acta Neurol Belg 1991;91:231-235.

[6] 6. Gambari PI, Giuliani G, Poppi M, Pozzati E. Ganglionic cysts of the peroneal nerve at the knee: CT and surgical correlation. J Comput Assist Tomogr 1990,14:801-803.

[7] 7. Ghossain M, Mohasseb G, Dagher F, Ghossain A. Compression du nerf sciatique poplite externe par un kyste synovial. Neurochirurgie 1987;33:412-414.

[8] 8. Gurdjian ES, Larsen RD, Lindner DW. Intraneural cyst of the peroneal and ulnar nerves: report of two cases. J Neurosurg 1965;23:76-78.

[9] 9. Jenkis SA. Solitary tumors of the peripheral nerve trunks. J Bone Joint Surg 1952;34:401-411.

[10] 10. Jensen DR. Ganglia and synovial cysts. Ann Surg 1937;105:592.

[11] 11. Katz MR, Lenobel MI. Intraneural ganglionic cyst of the peroneal nerve: a case report. J Neurosurg 1970;32:692-694.

[12] 12. Leijten FSS, Willem-Frans A, Puylaert JBCM. Ultrasound diagnosis of an intraneural ganglion cyst of the peroneal nerve: case report. J Neurosurg 1992;76:538-540.

[13] 13. Leon J, Maraño G. MRI of peroneal nerve entrapment due to a ganglion cyst. Magn Reson Imag 1987;5:307-309.

[14] 14. Masciocchi C, Innacoli M, Cisternino S, Barile A, Rossi F, Passariello R. Myxoid intraneural cysts of external popliteal ischiadic nerve: report of 2 cases studied with ultrasound, computed tomography and magnetic resonance imaging. Eur J Radiol 1992;14:52-55.

[15] 15. Muckart RD. Compression of the common peroneal nerve by intramuscular ganglion from the superior tibio-fibular joint. J Bone Joint Surg 1976;58:241-244.

[16] 16. Nicholson TR, Cohen RC, Grattan-Smith PJ. Intraneural ganglion of the common peroneal nerve in a 4-year-old boy. J Child Neurol 1995;10:213-215.

[17] 17. Nucci F, Ártico M, Santoro A. Intraneural synovial cyst of the peroneal nerve: report of two cases and review of the literature. Neurosurg 1990;26:339-344

[18] 18. Parkes A. Intraneural ganglion of the lateral popliteal nerve. J Bone Joint Surg 1961 ;43:784-790.

[19] 19. Pazzaglia UE, Pedrotti L, Finardi E. Kyste synovial intranerveux du nerf sciatique poplite externe. Acta Orthop Belg 1989;55:253-256.

[20] 20. Robert R, Resche F, Lajat Y, Tholouzan E, De Kersaint-Gilly A, Descuns P. Kyste synovial intraneural du nerf SPE. Neurochirurgie 1980;26:135-143.

[21] 21. Rondepierre P, Martini L, Wannin G, Floquet J. Kyste intraneural: une cause rare de paralysie du nerf sciatique poplité externe. Rev Neurol (Paris) 1990;146:375-376.

[22] 22. Scherman BM, Bilbao JM, Hudson AR, Briggs SJ. Intraneural ganglion: a case report with electron microscopic observations. Neurosurgery 1981;8:487-490.

[23] 23. Tatagiba M, Penkert G, Samii M. Ganglien peripherer Nerven. Zentralbl Neurochir 1993;54:171-173.