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BMC Neurol. 2018 Dec 22;18(1):217. doi: 10.1186/s12883-018-1229-7.

The cubital tunnel syndrome caused by intraneural ganglion cyst of the ulnar nerve at the elbow: a case report.

Author information

1
Department of Plastic and Aesthetic Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, People's Republic of China.
2
Department of Infectious Diseases, Shulan(Hangzhou) Hospital, #848 Dongxin Road, Hangzhou, Zhejiang Province, 310000, People's Republic of China.
3
Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, People's Republic of China. huilu@zju.edu.cn.

Abstract

BACKGROUND:

Cubital tunnel syndrome is common nerve compression syndrome among peripheral nerve compression diseases. However, the syndrome caused by intraneural ganglion cysts has been rarely reported. Medical approaches, like ultrasound-guided aspiration and open surgical treatment remain to be discussed.

CASE PRESENTATION:

A 57-year-old woman presented with occasional pain, numbness and paralysis in her left hand and a palpable, painless mass in the ulnar side of her left elbow. Ultrasound-guided aspiration of the mass was performed to decompress the ulnar nerve. The patient experienced an evident release of pain in her hand, but symptoms of numbness and paralysis recurred 3 months later which greatly bothered the patient's daily life. After evaluation, we had to perform an open surgery to excise the cyst. External neurolysis and anterior subcutaneous transposition were done. The patient was followed up for 2 years, and she made a complete recovery with no functional limitation.

CONCLUSIONS:

The symptoms caused by intraneural ganglion cyst can be alleviated by accurate puncture. But puncture may be not complete and symptoms could recur. Complete external neurolysis can be counted as a complete and reliable treatment. Therefore, early diagnosis, careful preoperative imaging assessment and full decompression can be expected to receive a good rehabilitation.

KEYWORDS:

Cubital tunnel syndrome; Intraneural ganglion cyst; Ultrasound-guided aspiration

PMID:
30579340
PMCID:
PMC6303969
DOI:
10.1186/s12883-018-1229-7
[Indexed for MEDLINE]
Free PMC Article

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