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Ganglion Cyst

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1. Ganglion cyst

Ganglion cyst Ganglion cyst - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Ganglion cyst Last reviewed: February 2019 Last updated: February 2019 Summary Most common benign lesion of the hand/wrist. Typically, insidious onset with no predisposing conditions. Usually only a cosmetic problem but local pain and neurovascular compression may occur. Conservative management usually suffices if no neurovascular compromise (...) . Aspiration of dorsal cysts can be therapeutic and diagnostic. Surgical excision has a higher rate of resolution but recurrence is possible. No reported malignant transformation. Definition Ganglion cysts are smooth, soft, benign masses that are usually located on the wrist (dorsal or volar aspect) with one or more communicating stalks into the wrist joint or surrounding structures. They can be single or multi-loculated and are filled with viscous, sticky, mucinous fluid. History and exam subcutaneous

2019 BMJ Best Practice

2. Ganglion cyst

Ganglion cyst Ganglion cyst - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Ganglion cyst Last reviewed: February 2019 Last updated: February 2019 Summary Most common benign lesion of the hand/wrist. Typically, insidious onset with no predisposing conditions. Usually only a cosmetic problem but local pain and neurovascular compression may occur. Conservative management usually suffices if no neurovascular compromise (...) . Aspiration of dorsal cysts can be therapeutic and diagnostic. Surgical excision has a higher rate of resolution but recurrence is possible. No reported malignant transformation. Definition Ganglion cysts are smooth, soft, benign masses that are usually located on the wrist (dorsal or volar aspect) with one or more communicating stalks into the wrist joint or surrounding structures. They can be single or multi-loculated and are filled with viscous, sticky, mucinous fluid. History and exam subcutaneous

2018 BMJ Best Practice

3. Editorial Commentary: To Cyst or Not to Cyst: Shoulder SLAP Lesions With Concomitant Spinoglenoid Notch Ganglion Cysts. (PubMed)

Editorial Commentary: To Cyst or Not to Cyst: Shoulder SLAP Lesions With Concomitant Spinoglenoid Notch Ganglion Cysts. When a patient presents with shoulder pain and the workup reveals a spinoglenoid notch cyst, it is presumed by most to be related to an intra-articular SLAP tear. When managing this condition cyst excision has been advocated to alleviate suprascapular nerve pressure and also perhaps minimize recurrence assuming that the SLAP has also been treated. Cyst excision can endanger (...) the suprascapular nerve and takes additional operating room time. The question is whether repairing the SLAP and therefore removing the starting point for the cyst would be adequate as the only surgical management. My preference is to leave the operating room with some indication that the pressure on the suprascapular nerve has been dealt with by at least decompressing the cyst. But on the basis of recent published experience, we may need to re-evaluate this.Copyright © 2018 Arthroscopy Association of North

2018 Arthroscopy

4. Ganglion cyst of the temporomandibular joint with intradural extension: case report. (PubMed)

Ganglion cyst of the temporomandibular joint with intradural extension: case report. Intracranial extension of temporomandibular joint (TMJ) ganglion cysts is very rare. Two previously reported cases presented clinically due to effects on cranial nerves and had obvious association with the TMJ on imaging. To the authors' knowledge, intracranial extension of a TMJ ganglion cyst presenting with seizures and mimicking a primary brain tumor has not been previously reported. The patient underwent (...) to the correct diagnosis of a TMJ ganglion cyst. This case highlights an unusual presentation of this rare lesion, as well as its potential for recurrence. TMJ ganglion cysts should be included in the differential diagnosis of cystic tumors involving the anterior temporal lobe, presenting with or without seizures. Focused imaging evaluation of the TMJ can be helpful to rule out the possible role of associated TMJ lesions.

2019 Journal of Neurosurgery

5. The impact of ganglion cell layer cysts in diabetic macular oedema treated with anti-vascular endothelial growth factor. (PubMed)

The impact of ganglion cell layer cysts in diabetic macular oedema treated with anti-vascular endothelial growth factor. To investigate the prevalence and impact of ganglion cell layer cysts (GCLC) in patients with diabetic macular oedema (DME) under continuous anti-vascular endothelial growth factor (VEGF) therapy.The clinical findings and spectral domain optical coherence devices of baseline visits and follow-up after 12-24 and 36 months of DME patients under continuous anti-VEGF therapy were (...) retrospectively collected and analysed for the impact of GCLC cysts. Previously established prognostic parameters were also assessed.A total of 110 eyes of 110 DME patients (mean age 64 ± 10 years) were included. At baseline, 17% eyes had GCLC. With GCLC, the best-corrected visual acuity (BCVA) improvement was in mean 8.4 ± 2.4 Early-Treatment-Diabetic-Retinopathy-Study (ETDRS) letters less over the course of 36 months compared to the group lacking GCLC (p = 0.0009). Eyes with GCLC showed 68 ± 23.4 μm less

2019 Acta ophthalmologica

6. Clinical outcome after decompression of intraneural peroneal ganglion cyst and its morphologic correlation to postoperative nerve ultrasound. (PubMed)

Clinical outcome after decompression of intraneural peroneal ganglion cyst and its morphologic correlation to postoperative nerve ultrasound. Intraneural ganglion cysts are rare and benign mucinous lesions that affect peripheral nerves, most frequently the common peroneal nerve (CPN). The precise pathophysiological mechanisms of intraneural ganglion cyst development remain unclear. A well-established theory suggests the spread of mucinous fluid along the articular branch of the peroneal nerve (...) as the underlying mechanism. Clinical outcome following decompression of intraneural ganglion cysts has been demonstrated to be excellent. The aim of this study was to evaluate the correlation between clinical outcome and ultrasound-detected morphological nerve features following decompression of intraneural ganglion cysts of the CPN.Data were retrospectively analyzed from 20 patients who underwent common peroneal nerve ganglion cyst decompression surgery at the Universität Ulm/Günzburg Neurosurgery Department

2019 Journal of Neurosurgery

7. Arthroscopic Management of SLAP Lesions With Concomitant Spinoglenoid Notch Ganglion Cysts: A Systematic Review Comparing Repair Alone to Repair With Decompression. (PubMed)

Arthroscopic Management of SLAP Lesions With Concomitant Spinoglenoid Notch Ganglion Cysts: A Systematic Review Comparing Repair Alone to Repair With Decompression. To determine if cyst management is necessary in the setting of SLAP lesions with concomitant paralabral ganglion cysts.We performed a systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, including all studies that met inclusion criteria from January 1975 to July 2015 (...) . We included patients with a SLAP II-VII lesion and a concomitant paralabral ganglion cyst who underwent arthroscopic labral repair with or without cyst decompression. Patients with follow-up of less than 3 months, a SLAP I lesion, or who underwent concomitant cuff repair were excluded. The Methodological Index for Non-randomized Studies (MINORS) scoring system was used to quantify the potential bias in each study. Outcome measures reported were provided in a table format and a subjective analysis

2018 Arthroscopy

8. Ganglion Cyst as a Rare Complication of Hip Arthroscopy Resolved With THA: A Case Report (PubMed)

Ganglion Cyst as a Rare Complication of Hip Arthroscopy Resolved With THA: A Case Report A rare complication of hip arthroscopy is the development of a ganglion cyst. These cysts can affect structures surrounding the hip joint. In some cases, the femoral artery may be involved, leading to claudication or a pulsatile mass that can resemble an aneurysm.We present the case of a 62 year-old male who complains of 3 months of right hip pain. Workup reveals a degenerative labrum with cam impingement (...) . After a discussion of various treatment options, the patient elected for arthroscopy to correct the impingement. An anterior capsulotomy was created to establish access to the joint. Cam decompression was indicated to address the impingement. The patient developed a recurring ganglion cyst following the procedure that was not permanently prevented with cyst aspiration. Total hip arthroplasty with ganglion cyst decompression resolved the ganglion cyst and resolved the hip pain.This is the first case

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2018 The Iowa orthopaedic journal

9. A rapidly progressive foot drop caused by the posttraumatic Intraneural ganglion cyst of the deep peroneal nerve. (PubMed)

A rapidly progressive foot drop caused by the posttraumatic Intraneural ganglion cyst of the deep peroneal nerve. Intraneural ganglion cysts usually arise from the articular branch of the nerve. The relationship between intraneural ganglion cysts and trauma is not clear.We report a case of a 62-year-old female with a rapidly progressive foot drop caused by a posttraumatic intraneural ganglion cyst of the deep peroneal nerve. We excised the ganglion cyst and performed nerve decompression. After (...) the surgery, the patient had a functional recovery.The concurrence of an intraneural ganglion cyst and trauma may increase damage to the nerve, although it is difficult to diagnosis before an operation. Early diagnosis and early proactive interventions would likely be associated with a good outcome.

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2018 BMC Musculoskeletal Disorders

10. Origin of Satellite Ganglion Cysts with Effusion in the Flexor Hallucis Longus Tendon Sheath around the Hallux (PubMed)

Origin of Satellite Ganglion Cysts with Effusion in the Flexor Hallucis Longus Tendon Sheath around the Hallux To describe the clinical and magnetic resonance imaging findings of ganglion cysts with effusion in the flexor hallucis longus tendon sheath around the hallux to evaluate their origin.Patients with recurrent or painful ganglion cysts around the hallux with effusion in the flexor hallucis longus tendon sheath who underwent surgical treatment at St. Vincent's Hospital from February 2007 (...) to August 2016 were investigated. Surgical indication was a painful or recurrent mass caused by the cystic lesions. Those without effusion of the flexor hallucis longus tendon sheath were excluded. We assessed the clinical and magnetic resonance imaging findings.Magnetic resonance imaging findings in all patients showed several ganglion cysts around the hallux and large fluid accumulations within the flexor hallucis longus tendon sheath. Regarding the location, six ganglion cysts were on the dorsomedial

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2018 Clinics in orthopedic surgery

11. The cubital tunnel syndrome caused by intraneural ganglion cyst of the ulnar nerve at the elbow: a case report. (PubMed)

The cubital tunnel syndrome caused by intraneural ganglion cyst of the ulnar nerve at the elbow: a case report. Cubital tunnel syndrome is common nerve compression syndrome among peripheral nerve compression diseases. However, the syndrome caused by intraneural ganglion cysts has been rarely reported. Medical approaches, like ultrasound-guided aspiration and open surgical treatment remain to be discussed.A 57-year-old woman presented with occasional pain, numbness and paralysis in her left hand (...) , and she made a complete recovery with no functional limitation.The symptoms caused by intraneural ganglion cyst can be alleviated by accurate puncture. But puncture may be not complete and symptoms could recur. Complete external neurolysis can be counted as a complete and reliable treatment. Therefore, early diagnosis, careful preoperative imaging assessment and full decompression can be expected to receive a good rehabilitation.

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2018 BMC Neurology

12. Arthroscopic versus open excision of dorsal ganglion cysts: a systematic review. (PubMed)

Arthroscopic versus open excision of dorsal ganglion cysts: a systematic review. We conducted a systematic review comparing recurrence and complication rate following open versus arthroscopic excision of ganglion cysts. Sixteen full-text articles were included. The pooled recurrence rate of open excision was 20% (range: 5.6-40.7%) with Q value of 27 and I2 of 82%. The pooled recurrence rate of arthroscopic excision was 9% (range: 0-17%) with Q value of 10 and I2 of 2%. Eleven of 16 studies were (...) are required to collect high quality data, allowing for greater confidence in conclusions regarding these two approaches for existing ganglion cysts.II.

2017 The Journal of hand surgery, European volume

13. Cost Minimization Analysis of Ganglion Cyst Excision. (PubMed)

Cost Minimization Analysis of Ganglion Cyst Excision. Cost minimization analysis can be employed to determine the least costly option when multiple treatments lead to equivalent outcomes. We present a cost minimization analysis from the payers' perspective, of the direct per patient cost of arthroscopic versus open ganglion cyst excision. We tested the null hypothesis that there is no difference in cost between the 2 procedures from the payer perspective.We utilized data from a private payer (...) administrative claims database comprising 16 million individuals from 2007 to 2015. Using Current Procedural Terminology codes to identify open and arthroscopic ganglion excisions, we extracted demographic data and fees paid to providers and facilities for the procedure.We identified 5,119 patients undergoing open ganglion cyst excision and 20 patients undergoing arthroscopic ganglion excision. The average cost of an open excision was significantly lower than an arthroscopic excision ($1,821 vs $3,668

2017 Journal of Hand Surgery - American

14. Ganglion cyst of the wrist treated with electroacupuncture: a case report (PubMed)

Ganglion cyst of the wrist treated with electroacupuncture: a case report To illustrate the clinical management of a ganglion cyst presenting on the right dorsal wrist.A 38-year-old female complaining of a symptomatic right dorsal wrist ganglion of four years duration.The patient was treated with high-frequency electroacupuncture in six consecutive treatments over a four week period and reported symptomatic improvement and a decrease in the size of the cyst following therapeutic (...) intervention.Ganglion cysts of the wrist are rather common benign connective tissue masses with variable treatment interventions. Electroacupuncture may be a novel and non-invasive conservative approach for the treatment of ganglion cysts. Further evaluation of the efficacy is warranted.

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2017 The Journal of the Canadian Chiropractic Association

15. Isolated medial plantar neuropathy caused by a large ganglion cyst diagnosed with MRI: A case report (PubMed)

Isolated medial plantar neuropathy caused by a large ganglion cyst diagnosed with MRI: A case report Although ganglion cysts are common soft tissue tumors, nerve compression syndrome caused by a ganglion cyst in the lower extremities is very rare. Herein, we report a 57-year-old man who presented with hypoesthesia in the sole of his right foot for 6 months. We believe that reporting this rare case will help clinicians update their knowledge on possible causes of the plantar neuropathy (...) elongated cystic lesion as the cause of entrapment. The patient underwent surgical removal of the cystic mass, with histologic examination confirming the diagnosis of a large ganglion cyst.The feasibility of nerve conduction studies and electromyography for detection of nerve entrapment is still controversial. MRI is considered the best diagnostic modality, if biopsy is not feasible.We suggest that foot imaging and electrophysiological studies should be considered for patients with isolated median

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2017 International journal of surgery case reports

16. Ganglion cyst of the hip mimicking lumbar disk herniation – A case report (PubMed)

Ganglion cyst of the hip mimicking lumbar disk herniation – A case report Sciatic nerve compression due to a ganglion cyst around the posterior aspect of the hip joint is not commonly described in literature. We report a rare case of a 63-year-old man with a ganglion cyst around his hip joint, who presented with symptoms of sciatica. After excision of the cyst, the patient was symptom free. A high index of clinical doubt and detailed clinical examination is required for non-palpable cystic

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2017 Journal of clinical orthopaedics and trauma

17. Multiple Plexiform Neurofibroma of the Hand Misdiagnosed as Ganglion Cyst (PubMed)

Multiple Plexiform Neurofibroma of the Hand Misdiagnosed as Ganglion Cyst 28442864 2018 11 13 0974-3227 9 1 2017 Apr Journal of hand and microsurgery J Hand Microsurg Multiple Plexiform Neurofibroma of the Hand Misdiagnosed as Ganglion Cyst. 45-46 10.1055/s-0037-1599221 Dreyfuss Daniel D Unit of Hand Surgery, Department of Orthopedic Surgery, Rambam Health Care Campus, Haifa, Israel. Stahl Ido I Department of Orthopedic Surgery, Rambam Health Care Campus, Haifa, Israel. Calif Edward E Unit

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2017 Journal of hand and microsurgery

18. Cystic lesions of peripheral nerves: Are we missing the diagnosis of the intraneural ganglion cyst? (PubMed)

Cystic lesions of peripheral nerves: Are we missing the diagnosis of the intraneural ganglion cyst? To highlight the salient magnetic resonance imaging (MRI) features of the intraneural ganglion cyst (INGC) of various peripheral nerves for their precise diagnosis and to differentiate them from other intra and extra-neural cystic lesions.A retrospective analysis of the magnetic resonance (MR) images of a cohort of 245 patients presenting with nerve palsy involving different peripheral nerves (...) total of 45 cystic lesions in the intra or extraneural locations of the nerves were identified from the 245 MR scans done for patients presenting with nerve palsy. Out of these 45 cystic lesions, 13 were diagnosed to have INGC of a peripheral nerve on MRI. The other cystic lesions included extraneural ganglion cyst, paralabral cyst impinging upon the suprascapular nerve, cystic schwannoma and nerve abscesses related to Hansen's disease involving various peripheral nerves. Thirteen lesions of INGC

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2017 World journal of radiology

19. Bilateral Ganglion Cysts of the Ligamentum Flavum in the Cervical Spine Causing a Progressive Cervical Radiculomyelopathy and Literature Review (PubMed)

Bilateral Ganglion Cysts of the Ligamentum Flavum in the Cervical Spine Causing a Progressive Cervical Radiculomyelopathy and Literature Review Here we report a unique case of bilateral ganglion cysts originating from the ligamentum flavum in the cervical spine. Degenerative cysts of the ligamentum flavum are rare lesions, and most had been reported in the lumbar spine. Its occurrence in the cervical spine is extremely rare: only eight have been reported. A 66-year-old male patient presented (...) with progressive paraparesis, pain, and paresthesia in his bilateral T1 dermatomes that had lasted for three weeks. Magnetic resonance imaging of the cervical spine demonstrated a well-demarcated cystic lesion in the bilateral dorsolateral aspects of the C7/T1 segment and significant compression of the cervical cord. All case reports of ganglion cysts of the cervical ligamentum flavum including the present one showed characteristic symptoms and signs of myelopathy such as paraparesis or quadriparesis

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2017 Case reports in neurological medicine

20. Intraneural ganglion cyst of the ulnar nerve in an unusual location: A case report (PubMed)

Intraneural ganglion cyst of the ulnar nerve in an unusual location: A case report Intraneural ganglion cysts are benign, mucinous, non-neoplastic lesions of the peripheral nerves. While the most common location of intraneural ganglion cysts is the ulnar nerve and its branches, intraneural ganglion cyst involving the superficial branch of the ulnar nerve has not yet been reported.A-25-year-old woman presented with pain and a palpable mass in the hypothenar region of the volar side of her right (...) hand. Her neuromuscular examination was normal. The pain was unresponsive to nonsurgical treatments. After confirming with imaging modalities, the initial diagnosis was considered as an intraneural ganglion cyst arising from superficial ulnar nerve. Excision of the ganglion and exploration of the articular branch (if seen in operation) decision was undertaken by the senior author. Whether MRI or intraoperative exploration, not identified an articular branch.Intraneural ganglion cysts of peripheral

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2017 International journal of surgery case reports

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