Ulnar nerve entrapment neuropathy due to extraneural ganglia at the elbow: A case report
Journal Title: Journal of Neurological Sciences-Turkish - Year 2005, Vol 22, Issue 1
Abstract
A rare case of ulnar nerve entrapment due to extraneural ganglion at the elbow is presented. A 64-year old right-handed man presented with a 6 months history of pain in his right elbow, progressive numbness, tingling, atrophy and weakness in his right hand. Electrophysiological studies demonstrated a severe conduction block affecting the ulnar nerve in the retrotrochlear groove but without any sign of major axonal loss. Neurological examination showed sensory loss of the little and ring fingers and reduced gripping power of the right hand with hypotenar and intrinsic muscles atrophy. The sign of Tinnel¡¯s and Phalen's test was positive. The cyst was not within the epineurium of the ulnar nerve and contained yellowish jelly like material. After an uneventful postoperative course, the patient¡¯s neurological status was gradually improved and he had practically no neurological deficit at follow-up of 1 year. Although extraneural ganglia at the elbow is a rare cause, it must be investigated at the onset of cubital tunnel syndrome.
Authors and Affiliations
Ozgur TASKAPILIOGLU, Ahmet BEKAR, M KURSAT, Ulviye YALCINKAYA
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