Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/14247
Title: | Peripheral neuropathy caused by joint-related cysts: a review of 17 cases | Authors: | WEYNS, Frank Bringmans, T. VANDEVENNE, Jan Daenekindt, T. Van Goethem, A. Wuyts, J. VANORMELINGEN, Linda VANDERSTEEN, Marjan |
Issue Date: | 2012 | Publisher: | SPRINGER WIEN | Source: | ACTA NEUROCHIRURGICA, 154 (10), p. 1741-1753 | Abstract: | Clinical compression neuropathy caused by para-articular cysts is rare. Only recently, the unifying articular theory was proposed to clarify its true etiologic nature. The authors attribute 17 cases to this theory in order to illustrate the shift in the diagnostic and treatment protocol, and the possible impact on patient outcome. Eight intraneural and nine extraneural cysts were included. The proposed diagnostic protocol includes electromyography and ultrasound, followed by magnetic resonance imaging to characterize the cyst. The proposed treatment protocol consists of (1) ligation of the pedicle connecting the cyst with the afflicted joint, (2) decompression of the nerve and, when needed and (3) disarticulation of the superior tibiofibular joint (in case of peroneal nerve involvement). Outcome was good to excellent in all patients, with recovery of sensory and motor function. Cyst recurrence was observed in three intraneural cases (18 %). Analysis of our own diagnostic protocol showed that atypical compression neuropathies should follow a strict diagnostic protocol to exclude missing the presence of a cyst. Ultrasound needs to play a crucial role, with MRI for cyst characterization and pedicle identification. Retrospective proof in favor of the articular theory was found in all cases. An explanation for the cyst recurrences was formed based on the articular theory. In addition, a diagnostic and therapeutic protocol is proposed for all atypical peripheral compression neuropathies with the ultimate goal to achieve optimal patient outcome. | Notes: | [Weyns, F.; Vandevenne, J.; Daenekindt, T.; Van Goethem, A.; Wuyts, J.] Ziekenhuis Oost Limburg, Dept Neurosurg, B-3600 Genk, Belgium. [Weyns, F.; Bringmans, T.; Vanormelingen, L.; Vandersteen, M.] Hasselt Univ, Fac Med, Diepenbeek, Belgium. [Bringmans, T.] Katholieke Univ Leuven, Fac Med, Louvain, Belgium. | Keywords: | Clinical Neurology; Surgery; articular(unifying)theory; intraneural(ganglion)cyst; peripheral compression neuropathy;Articular (unifying) theory; Intraneural (ganglion) cyst; Peripheral compression neuropathy | Document URI: | http://hdl.handle.net/1942/14247 | ISSN: | 0001-6268 | e-ISSN: | 0942-0940 | DOI: | 10.1007/s00701-012-1444-8 | ISI #: | 000308816600001 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2013 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Peripheral neuropathy caused by joint-related cysts - a review of 17 cases.pdf Restricted Access | 429.28 kB | Adobe PDF | View/Open Request a copy |
SCOPUSTM
Citations
9
checked on Sep 3, 2020
WEB OF SCIENCETM
Citations
15
checked on Oct 14, 2024
Page view(s)
98
checked on Apr 17, 2023
Download(s)
110
checked on Apr 17, 2023
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.