Abstract
Intraneural ganglion cysts are uncommon cystic lesions of peripheral nerves that are typically encountered in adults. In the lower extremity, the peroneal nerve is most frequently affected with involvement of the tibial nerve much less common. This article describes a tibial intraneural ganglion cyst in a 10-year-old boy. Although extremely rare, intraneural ganglion cysts of the tibial nerve should be considered when a nonenhancing cystic structure with intra-articular extension is identified along the course of the nerve. This report also details the unsuccessful attempt at percutaneous treatment with US-guided cyst aspiration and steroid injection, an option recently reported as a viable alternative to open surgical resection.
Similar content being viewed by others
References
Adn M, Hamlat A, Morandi X et al (2006) Intraneural ganglion cyst of the tibial nerve. Acta Neurochir (Wien) 148:885–890
Jose J, Fourzali R, Lesniak B et al (2011) Ultrasound-guided aspiration of symptomatic intraneural ganglion cyst within the tibial nerve. Skeletal Radiol 40:1473–1478
Beaman FD, Peterson JJ (2007) MR imaging of cysts, ganglia, and bursae about the knee. Radiol Clin North Am 45:969–982, vi
Davis GA, Cox IH (2011) Tibial intraneural ganglia at the ankle and knee: incorporating the unified (articular) theory in adults and children. J Neurosurg 114:236–239
Spinner RJ, Amrami KK, Wolanskyj AP et al (2007) Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory. J Neurosurg 107:296–307
Spinner RJ, Mokhtarzadeh A, Schiefer TK et al (2007) The clinico-anatomic explanation for tibial intraneural ganglion cysts arising from the superior tibiofibular joint. Skeletal Radiol 36:281–292
Spinner RJ, Crnkovich F, Kobeal MAI et al (2012) Can trauma cause tibial intraneural ganglion cysts at the superior tibiofibular joint? Clin Anat 25:785–787
Ladak A, Spinner RJ, Amrami KK et al (2013) MRI findings in patients with tibial nerve compression near the knee. Skeletal Radiol 42:553–559
Conflicts of interest
The authors have no conflicts of interest to disclose.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Squires, J.H., Emery, K.H., Johnson, N. et al. Tibial nerve intraneural ganglion cyst in a 10-year-old boy. Pediatr Radiol 44, 488–490 (2014). https://doi.org/10.1007/s00247-013-2814-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-013-2814-y