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A Case of Bilateral Cubital Tunnel Syndrome Associated with Ganglion Cysts in Medial Elbow

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Here, we report a patient with bilateral cubital tunnel syndrome caused by both medial elbow ganglion cysts. The patient complained of paresthesia in the ring and small finger with weakness in both the hands caused by the gradual enlargement of a soft mass that was felt in both medial elbows for about three years. The patient complained of difficulty in using chopsticks and bringing the fingers together. Electrodiagnostic study revealed bilateral ulnar neuropathy at elbow level. Suspecting a ganglion cyst, an ultrasound and magnetic resonance imaging studies were performed. Aspiration of these cysts (a yellow jelly-like fluid) had improved patient’s symptom and electrodiagnostic findings in follow-up study. It is rare that a medial elbow ganglion leads to ulnar neuropathy. We report a case where the patient’s symptoms improved with conservative treatment without surgical excision.

Abstract

Here, we report a patient with bilateral cubital tunnel syndrome caused by both medial elbow ganglion cysts. The patient complained of paresthesia in the ring and small finger with weakness in both the hands caused by the gradual enlargement of a soft mass that was felt in both medial elbows for about three years. The patient complained of difficulty in using chopsticks and bringing the fingers together. Electrodiagnostic study revealed bilateral ulnar neuropathy at elbow level. Suspecting a ganglion cyst, an ultrasound and magnetic resonance imaging studies were performed. Aspiration of these cysts (a yellow jelly-like fluid) had improved patient’s symptom and electrodiagnostic findings in follow-up study. It is rare that a medial elbow ganglion leads to ulnar neuropathy. We report a case where the patient’s symptoms improved with conservative treatment without surgical excision.

참고문헌 (9)

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  5. Sang-Hoon Yoon, "The Cubital Tunnel Syndrome with Medial Ganglion Cyst", 대한신경외과학회지, 42(2), pp.141~144 (2007), 대한신경외과학회
  6. Manninger J, "Ganglion in the ulnar nerve sulcus as a cause of ulnar nerve irritation", Handchirurgie, 12, pp.7~9 (1980)
  7. Zumrut M, "An unusual cause of Foot Drop: Peroneal extraneural ganglion cyst", Pak J Med Sci, 32, pp.1047~1050 (2016)
  8. Chang W, "The cubital tunnel syndrome caused by the intraneural or extraneural ganglion cysts: cases report and review of the literature", J Plast Reconstr Aesthet Surg, 70, pp.1404~1408 (2017)
  9. Suen M, "Treatment of Ganglion Cysts", ISRN Orthop, 2013, pp.940615~ (2013)

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