Publication: Ulnar Compression Neuropathy Secondary to Ganglion Cyst at the Elbow Joint: A Case Report
Date
2024
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 774 - 776
Publisher
Nepal Medical Association
Abstract
Abstract
Ulnar neuropathy is a common peripheral neuropathy, with cubital tunnel compression being the second most frequent upper extremity compression syndrome. Ganglion cysts, though rare, can contribute to ulnar nerve compression in the cubital tunnel. Here, we present a case of a 62-year-old farmer with longstanding diabetes and dyslipidemia who experienced progressive pain and numbness in his medial fingers, exacerbated by elbow flexion. Initially misdiagnosed and treated for Hansen’s disease. Clinico-radiological evaluation revealed a multiloculated cystic lesion in the posteromedial aspect of his left elbow, compressing the ulnar nerve. Surgical excision of the ganglion cyst alleviated symptoms, though residual motor deficits persisted postoperatively. This case underscores the importance of considering ganglion cysts in the differential diagnosis of cubital tunnel syndrome, highlighting the diagnostic challenges and therapeutic considerations in managing this rare etiology.
Description
Suman Kumar Basel
KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal
Prakash Shrestha
KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal
Gaurav Bir Bajracharya
KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal
Keywords
Identifier
https://doi.org/10.31729/jnma.8810