A rare case of an intraneural ganglion cyst of the median nerve.

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Ultrasonography Pub Date : 2023-09-11 eCollection Date: 2023-09-01 DOI:10.15557/jou.2023.0025

Sisith Ariyaratne, Gora Pathak, Karthikeyan Iyengar, Rajesh Botchu, Amit Shah

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Abstract

Aim of the study: Intraneural ganglion cysts are a relatively uncommon type of ganglion cyst that can affect peripheral nerves. They are particularly rare in the upper limb, and even more so in the median nerve, with the vast majority of them occurring in the peroneal nerves. This paper aims to make the reader aware of this relatively uncommon condition.

Case description: We report a case of a 41-year-old male who presented with a gradually progressing mass on the volar aspect of the wrist extending to the index finger. The nonspecific presentation as well as the rarity of the condition may make diagnosis challenging. The patient was referred for surgical management under a specialist peripheral nerve hand surgeon.

Conclusions: Ultrasound and magnetic resonance imaging as well as awareness of the typical imaging features of this entity are crucial in making the correct diagnosis as well as excluding other potential considerations such as neoplasm.

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一例罕见的正中神经神经内神经节囊肿。

研究目的：神经内神经节囊肿是一种相对罕见的神经节囊肿，可影响周围神经。它们在上肢尤其罕见，在正中神经更是如此，其中绝大多数发生在腓神经。本文旨在让读者意识到这种相对罕见的情况。病例描述：我们报告了一例41岁的男性病例，他在手腕的掌侧出现一个逐渐发展的肿块，一直延伸到食指。非特异性的表现和罕见的情况可能使诊断具有挑战性。该患者被转诊到一位专业的手部周围神经外科医生那里接受手术治疗。结论：超声和磁共振成像以及对该实体典型成像特征的认识对于做出正确诊断以及排除其他潜在因素（如肿瘤）至关重要。

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