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Epineural ganglion causing cubital tunnel syndrome: A case report

Although ganglions are the most common cause of ulnar tunnel syndrome, they are one of the rare causes of cubital tunnel syndrome (CuTS). In this article, we report a 49-year-old female patient admitted to the outpatient clinic complaining of numbness and tingling in the ring and little fingers of t...

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Autores principales: Alp, Nazmi Bülent, Akdağ, Gökhan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bayçınar Medical Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489135/
https://www.ncbi.nlm.nih.gov/pubmed/32160510
http://dx.doi.org/10.5606/ehc.2020.66993
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author Alp, Nazmi Bülent
Akdağ, Gökhan
author_facet Alp, Nazmi Bülent
Akdağ, Gökhan
author_sort Alp, Nazmi Bülent
collection PubMed
description Although ganglions are the most common cause of ulnar tunnel syndrome, they are one of the rare causes of cubital tunnel syndrome (CuTS). In this article, we report a 49-year-old female patient admitted to the outpatient clinic complaining of numbness and tingling in the ring and little fingers of the right hand. There was no history of systemic disease or previous trauma. The patient was diagnosed with CuTS in the light of clinical examination and nerve conduction studies. Simple cubital tunnel decompression was performed under general anesthesia and microsurgical exploration revealed a 2x2 cm epineural ganglion cyst compressing the ulnar nerve. The cyst was excised without damaging the ulnar nerve and cutaneous nerves. Histopathology also confirmed the ganglion cyst. In the postoperative period, the patient's clinical improvement was more satisfactory than nerve conduction studies. The diagnosis of CuTS is established by physical examination, provocative test, and nerve conduction studies. In patients who cannot achieve a satisfactory outcome by conservative treatment, the cyst should be kept in mind among etiologic factors. Magnetic resonance imaging should be requested for accurate diagnosis and preoperative surgical planning.
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spelling pubmed-74891352020-09-17 Epineural ganglion causing cubital tunnel syndrome: A case report Alp, Nazmi Bülent Akdağ, Gökhan Jt Dis Relat Surg Case Report Although ganglions are the most common cause of ulnar tunnel syndrome, they are one of the rare causes of cubital tunnel syndrome (CuTS). In this article, we report a 49-year-old female patient admitted to the outpatient clinic complaining of numbness and tingling in the ring and little fingers of the right hand. There was no history of systemic disease or previous trauma. The patient was diagnosed with CuTS in the light of clinical examination and nerve conduction studies. Simple cubital tunnel decompression was performed under general anesthesia and microsurgical exploration revealed a 2x2 cm epineural ganglion cyst compressing the ulnar nerve. The cyst was excised without damaging the ulnar nerve and cutaneous nerves. Histopathology also confirmed the ganglion cyst. In the postoperative period, the patient's clinical improvement was more satisfactory than nerve conduction studies. The diagnosis of CuTS is established by physical examination, provocative test, and nerve conduction studies. In patients who cannot achieve a satisfactory outcome by conservative treatment, the cyst should be kept in mind among etiologic factors. Magnetic resonance imaging should be requested for accurate diagnosis and preoperative surgical planning. Bayçınar Medical Publishing 2020-03-02 /pmc/articles/PMC7489135/ /pubmed/32160510 http://dx.doi.org/10.5606/ehc.2020.66993 Text en Copyright © 2020, Turkish Joint Diseases Foundation http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Report
Alp, Nazmi Bülent
Akdağ, Gökhan
Epineural ganglion causing cubital tunnel syndrome: A case report
title Epineural ganglion causing cubital tunnel syndrome: A case report
title_full Epineural ganglion causing cubital tunnel syndrome: A case report
title_fullStr Epineural ganglion causing cubital tunnel syndrome: A case report
title_full_unstemmed Epineural ganglion causing cubital tunnel syndrome: A case report
title_short Epineural ganglion causing cubital tunnel syndrome: A case report
title_sort epineural ganglion causing cubital tunnel syndrome: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489135/
https://www.ncbi.nlm.nih.gov/pubmed/32160510
http://dx.doi.org/10.5606/ehc.2020.66993
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