腓总神经神经节囊肿手术后的结果:一个病例系列和系统回顾。

Eplasty Pub Date : 2023-01-01
Hadyn K N Kankam, Liron S Duraku, Caroline A Hundepool, Samuel George, Tahseen Chaudhry, Dominic M Power
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引用次数: 0

摘要

背景:神经内神经节是腓总神经麻痹的罕见病因。虽然存在几种治疗方式,但建议手术干预,特别是在神经功能障碍的情况下。我们提出了一个病例系列和系统回顾的临床结果后手术切除腓总神经神经节。方法:我们对2012年至2022年在英国伯明翰伊丽莎白女王医院接受腓总神经神经节手术的所有患者进行回顾性图表回顾。收集人口统计学和术前及术后结果。对MEDLINE和EMBASE数据库进行了全面的文献检索,以确定类似的研究。随后从纳入的研究中提取数据并进行定性分析。结果:我们中心的5例患者接受了切除神经内神经节的手术。男性占多数。疼痛、足下垂、局部肿胀是常见的表现。术后,所有完成随访的患者均表现出运动功能改善,无囊肿复发记录。系统评价确定了6项研究,涉及128例接受手术治疗的神经内神经节患者。报告了类似的发现,客观和主观测量足部和踝关节功能以及手术干预后症状的改善。复发率从0%到25%不等,尽管大多数复发是神经外的。结论:切除神经内神经节与症状缓解和功能改善有关。复发率相对较低,很少发生在神经内。
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Outcomes Following Surgery for Common Peroneal Nerve Intraneural Ganglion Cysts: A Case Series and Systematic Review.

Background: Intraneural ganglia are a rare cause of common peroneal nerve palsy. Although several treatment modalities exist, surgical intervention is recommended, especially in the setting of neurological dysfunction. We present a case series and systematic review on the clinical outcomes following surgical excision of common peroneal nerve intraneural ganglia.

Methods: We performed a retrospective chart review of all patients who had undergone surgery for common peroneal nerve intraneural ganglia at Queen Elizabeth Hospital in Birmingham, UK, from 2012 to 2022. Demographic and pre- and postoperative findings were collected. A comprehensive literature search of MEDLINE and EMBASE databases was also performed to identify similar studies. Data were subsequently extracted from included studies and qualitatively analyzed.

Results: Five patients at our center underwent procedures to excise intraneural ganglia. There was a male preponderance. Pain, foot drop, and local swelling were the common presenting features. Postoperatively, all patients who completed follow-up demonstrated improved motor function with no documented cyst recurrence. The systematic review identified 6 studies involving 128 patients with intraneural ganglia treated with surgery. Similar findings were reported, with objective and subjective measures of foot and ankle function and symptoms improving after surgical intervention. The recurrence rate varied from 0% to 25%, although most recurrences were extraneural.

Conclusions: Excision of intraneural ganglia is associated with symptomatic relief and functional improvement. Recurrence rates are relatively low and are rarely intraneural.

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