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intraneural ganglion cyst of the lumbosacral plexus mimicking L5 radiculopathy:A case report

World Journal of Clinical Cases 2021年第17期9卷 4433-4440页

作者： Jun Gyu Lee Hyungsun Peo Jang Hyuk Cho Du Hwan Kim Department of Physical Medicine and Rehabilitation College of MedicineChung-Ang UniversitySeoul 06973South Korea Department of Rehabilitation Medicine Keimyung University School of MedicineDaegu 42601South Korea

BACKGROUND intraneural ganglion cysts are benign gelatinous masses that form within the epineurium of a peripheral *** few cases of intraneural ganglion cyst arising from the hip joint have been *** SUMMARY A previously healthy 65-year-old woman who had been experiencing left buttock pain radiating to the dorsum of the foot for 2 years visited our *** to visiting the clinic,she underwent lumbar spine magnetic resonance imaging and received physiotherapy,pain killers,and epidural injections based on a presumptive diagnosis of spinal stenosis for 2 years in other *** magnetic resonance imaging revealed joint connection of the articular branch of the hip joint and rostral extension of the cyst along the L5 spinal nerve near the L5-S1 neural *** patient was diagnosed with intraneural ganglion cyst arising from the articular branch of the hip joint based on high-resolution magnetic resonance *** the arthroscopic approach,a cystic opening within the intra-articular space was detected,and cyst decompression was then *** pain in the left leg was significantly relieved during the 6-mo *** Although intraneural ganglion cysts arising from the hip joint are rare,they can cause typical radicular pain and mimic common L5 *** cyst ascent phenomenon starting from the termination of the articular branch on magnetic resonance imaging is a crucial finding indicative of intraneural ganglion cysts arising from the hip joint.

关键词： intraneural ganglion cyst Radiculopathy Labrum Hip joint Sciatic nerve Lumbosacral plexus Case report

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