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A 59 year old man with sudden inability to move his left foot Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

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Presentation on theme: "A 59 year old man with sudden inability to move his left foot Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology."— Presentation transcript:

1 A 59 year old man with sudden inability to move his left foot Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology

2 A 59-year-old-man with knee arthritis suddenly developed left posterior thigh pain with complete paralysis of his foot. EMG/NCS localized the lesion to the distal sciatic nerve in the thigh (absent motor units from the short head of biceps femoris but normal hamstrings). Jerath NU et al. © 2013 American Academy of Neurology

3 Jerath NU et al. © 2013 American Academy of Neurology

4 Jerath NU et al. © 2013 American Academy of Neurology

5 Intraneural Ganglion Cyst of the Tibial Nerve A capsular defect of the tibiofibular joint allowed synovial fluid to escape, tracking upward along a tibial articular branch of the sciatic nerve, causing secondary compression of the peroneal division. 1, 2 Intraneural ganglia more commonly involve the peroneal rather than the tibial nerve. Failure to disconnect the cyst from the articulating nerve branch to the joint may lead to cyst recurrence. Jerath NU et al. © 2013 American Academy of Neurology

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