Lesions in the Popliteal Fossa with Neurologic Symptomatology – Case Reports, Diagnostics and Treatment

Česká verzia

Authors: G. Hanoun; V. Vybíhal; L. Křen ¹; O. Navrátil
Authors place of work: Neurochirurgická klinika LF MU Brno a FN Brno, přednosta: prof. MUDr. Martin Smrčka, Ph. D., MBA ; Ústav patologie LF MU Brno a FN Brno, přednosta: doc. MUDr. Josef Feit, CSc. ¹
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 8, s. 453-455.
Category: Monothematic special - Original

Summary

The lesions arising in the popliteal fossa are varied. We report two different lesions related to the peroneal nerve that presented with neurologic symptoms. Both were initially treated at surgical department with insufficient diagnostics and finally required a neurosurgical operation. We emphasize performing complete diagnostics that may avoid unnecessary burden for the patient and healthcare personnel. Patients with proven intimate relation of the lesion to nerve structures in the popliteal fossa should be referred to neurosurgical department.

Key words:
schwannoma – peroneal nerve – Baker’s cyst – popliteal fossa

Zdroje

1. El Demellawy, D., Bain, J., Algawad, H., Provias, J. P. Inflammatory pseudotumor of the peroneal nerve: čase report and literatuře review. Ann. Diagn. Pathol., 12: 44–47, 2008.

2. Fritschy, D., Fasel, J., Imbert, J. C., Bianchi, S., Verdonk, R., Wirth, C. J. The popliteal cyst. Knee Surg. Sports Traumatol. Arthrosc., 14: 623–628, 2006.

3. Houshian, S., Freund, K. G. Gigantic benign schwannoma in the lateral peroneal nerve. Am. J. Knee Surg., 12: 41–42, 1999.

4. Ji, J. H., Shafi, M., Kim, W. Y., Park, S. H., Chrom, J. O. Compressive neuropathy of the tibial nerve and peroneal nerve by a Baker’s cyst: case report. Knee, 14: 249–252, 2007.

5. Kline, D. G., Hudson, A. R. Nerve Injuries. Operative Results For Major Nerve Injuries, Entrapments, and Tumors. Philadelphia, W. B. Saunders, 1995.

6. Látr, I., Náhlovský, J., Hobza, V., Česák, T. Nádory mozku a kalvy. In: Náhlovský, J. (ed): Neurochirurgie. Praha, Galén, 2006, pp. 123–127.

7. Loukas, M., Klaassen, Z., Tubbs, R. S., Apaydin, N. Popliteal artery aneurysms: a review. Folia Morphol. (Warsz), 66: 272–276, 2007.

8. MacNally, S. P., Rutherford, S. A., Ramsden, R. T., Evans, D. G., King, A. T. Trigeminal schwannomas. Br. J. Neurosurg., 22: 729–738, 2008.

9. Němeček, S., Němečková, J., Cerman, J. Patologické aspekty neuroonkologie. In: Náhlovský, J. (ed): Neurochirurgie. Praha, Galén, 2006, pp 77.

10. O’Brien, D. F., Kaar, T. K., McGuinness, A. J. Intraneural ganglion of the peroneal nerve: a case report. Ir. Med. J., 88: 131, 1995.

11. Selvam, A., Shetty, K., James, N. V., Shah, R. R., Shankar, K., Locker, A. P. Giant popliteal aneurysm presenting with foot drop. J. Vasc. Surg. 44: 882–883, 2006.

12. Turcotte, R. E., Ferrone, M., Ister, M. H., Wong, C. Outcomes in patients with popliteal sarcomas. Can. J. Surg., 52: 51–55, 2009.