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Intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: A retrospective observational study

PURPOSE: Cubital tunnel syndrome caused by ganglion cysts has rarely been reported. The purpose of this study was to evaluate the surgical treatment outcomes of a patient diagnosed with cubital tunnel syndrome caused by intraneural or extraneural cysts and to summarize our experience. METHOD: In tot...

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Autores principales: Yalikun, Ainizier, Yushan, Maimaiaili, Hamiti, Yimurang, Lu, Cheng, Yusufu, Aihemaitijiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388826/
https://www.ncbi.nlm.nih.gov/pubmed/35989915
http://dx.doi.org/10.3389/fneur.2022.921811
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author Yalikun, Ainizier
Yushan, Maimaiaili
Hamiti, Yimurang
Lu, Cheng
Yusufu, Aihemaitijiang
author_facet Yalikun, Ainizier
Yushan, Maimaiaili
Hamiti, Yimurang
Lu, Cheng
Yusufu, Aihemaitijiang
author_sort Yalikun, Ainizier
collection PubMed
description PURPOSE: Cubital tunnel syndrome caused by ganglion cysts has rarely been reported. The purpose of this study was to evaluate the surgical treatment outcomes of a patient diagnosed with cubital tunnel syndrome caused by intraneural or extraneural cysts and to summarize our experience. METHOD: In total, 34 patients were evaluated retrospectively from January 2011 to January 2020 with a follow-up of more than 24 months. Preoperative data, such as demographic data, clinical symptoms, physical examination findings, and laboratory tests, were all recorded and pre-operative and post-operative data were compared. The function was evaluated by the modified Bishop scoring system and the McGowan grade at the last follow-up. RESULTS: Improvement of interosseous muscle strength, the Visual Analog Scale (VAS), 2-point discrimination (2-PD), electromyogram (EMG) result, Wartenberg sign, claw hand, and weakness could be clearly observed in all patients. Extraneural cysts were completely removed and the pedicles of the cysts were ligated. Intraneural cysts were incised and drained, and part of their cyst walls were removed using a microsurgical technique. All patients underwent anterior subcutaneous transposition (AST). At the last follow-up, McGowan's (0-IIa) grade increased from seven patients (20.6%) preoperatively to 27 patients (79.4%); the excellent and good rate according to the modified Bishop scoring system was 82.4% (28 patients), and all patients had no symptoms of recurrence after surgery. CONCLUSION: The treatment of cubital tunnel syndrome caused by intraneural or extraneural cysts achieved good long-term results through extraneural cyst resection or intraneural cyst incision and drainage combined with subcutaneous transposition. Early diagnosis and surgical treatment are essential for the patient's postoperative recovery.
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spelling pubmed-93888262022-08-20 Intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: A retrospective observational study Yalikun, Ainizier Yushan, Maimaiaili Hamiti, Yimurang Lu, Cheng Yusufu, Aihemaitijiang Front Neurol Neurology PURPOSE: Cubital tunnel syndrome caused by ganglion cysts has rarely been reported. The purpose of this study was to evaluate the surgical treatment outcomes of a patient diagnosed with cubital tunnel syndrome caused by intraneural or extraneural cysts and to summarize our experience. METHOD: In total, 34 patients were evaluated retrospectively from January 2011 to January 2020 with a follow-up of more than 24 months. Preoperative data, such as demographic data, clinical symptoms, physical examination findings, and laboratory tests, were all recorded and pre-operative and post-operative data were compared. The function was evaluated by the modified Bishop scoring system and the McGowan grade at the last follow-up. RESULTS: Improvement of interosseous muscle strength, the Visual Analog Scale (VAS), 2-point discrimination (2-PD), electromyogram (EMG) result, Wartenberg sign, claw hand, and weakness could be clearly observed in all patients. Extraneural cysts were completely removed and the pedicles of the cysts were ligated. Intraneural cysts were incised and drained, and part of their cyst walls were removed using a microsurgical technique. All patients underwent anterior subcutaneous transposition (AST). At the last follow-up, McGowan's (0-IIa) grade increased from seven patients (20.6%) preoperatively to 27 patients (79.4%); the excellent and good rate according to the modified Bishop scoring system was 82.4% (28 patients), and all patients had no symptoms of recurrence after surgery. CONCLUSION: The treatment of cubital tunnel syndrome caused by intraneural or extraneural cysts achieved good long-term results through extraneural cyst resection or intraneural cyst incision and drainage combined with subcutaneous transposition. Early diagnosis and surgical treatment are essential for the patient's postoperative recovery. Frontiers Media S.A. 2022-08-05 /pmc/articles/PMC9388826/ /pubmed/35989915 http://dx.doi.org/10.3389/fneur.2022.921811 Text en Copyright © 2022 Yalikun, Yushan, Hamiti, Lu and Yusufu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Yalikun, Ainizier
Yushan, Maimaiaili
Hamiti, Yimurang
Lu, Cheng
Yusufu, Aihemaitijiang
Intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: A retrospective observational study
title Intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: A retrospective observational study
title_full Intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: A retrospective observational study
title_fullStr Intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: A retrospective observational study
title_full_unstemmed Intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: A retrospective observational study
title_short Intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: A retrospective observational study
title_sort intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: a retrospective observational study
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388826/
https://www.ncbi.nlm.nih.gov/pubmed/35989915
http://dx.doi.org/10.3389/fneur.2022.921811
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