{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T05:03:56Z","timestamp":1774069436345,"version":"3.50.1"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","license":[{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,7,29]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The articular origin of intraneural cysts has been previously described and well supported. Intraneural ganglion cysts most commonly occur in adults and in the common peroneal nerve arising from the anterior aspect of the superior tibiofibular joint (STFJ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors report a pediatric patient who developed a tibial intraneural cyst arising from the posterior aspect of the STFJ within months after surgical treatment of a peroneal intraneural cyst from the anterior aspect of the same joint. Surgery consisted of disconnecting the articular branch of the peroneal nerve and decompression of the cyst. Three-month postoperative magnetic resonance imaging showed resolution of the peroneal intraneural cyst and anterior compartment denervation but demonstrated a clinically occult small tibial intraneural ganglion cyst arising from the STFJ with popliteus muscle atrophy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This case underscores the importance of addressing the underlying etiology (articular synovitis) or the communication pathways (articular branches) whenever feasible to mitigate intraneural cyst recurrence. Furthermore, this report reinforces the validity of the articular theory.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24277\">https:\/\/thejns.org\/doi\/10.3171\/CASE24277<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24277","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T02:58:55Z","timestamp":1722221935000},"source":"Crossref","is-referenced-by-count":2,"title":["Development of a tibial intraneural ganglion cyst after surgery on a peroneal intraneural ganglion in a pediatric patient: further support for the articular origin of intraneural ganglion cysts. Illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Andres A","family":"Maldonado","sequence":"first","affiliation":[{"name":"Departments of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly K","family":"Amrami","sequence":"additional","affiliation":[{"name":"Departments of Radiology, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J","family":"Spinner","sequence":"additional","affiliation":[{"name":"Departments of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"3","key":"bib1","series-title":"Rev Med Brux","first-page":"195","article-title":"An unusual foot drop: the fibular intraneural cyst","volume":"28","author":"G\u00e9rard","year":"2007","unstructured":"G\u00e9rard JMLambart J. An unusual foot drop: the fibular intraneural cyst. Rev Med Brux. 2007;28(3):195-198."},{"issue":"3","key":"bib2","series-title":"Am J Orthop (Belle Mead NJ)","first-page":"E40","article-title":"Peroneal nerve palsy due to an intraneural ganglion: a case report of a 4 1\/2-year-old boy","volume":"36","author":"Aprin","year":"2007","unstructured":"Aprin HWeinberg JLustrin ESAbrutyn D. Peroneal nerve palsy due to an intraneural ganglion: a case report of a 4 1\/2-year-old boy. Am J Orthop (Belle Mead NJ). 2007;36(3):E40-E42."},{"issue":"3","key":"bib3","series-title":"Skelet Radiol","first-page":"165","article-title":"An unusual variant of intraneural ganglion of the common peroneal nerve","volume":"35","author":"Bonar","year":"2006","unstructured":"Bonar SFViglione WSchatz JScolyer RAMcCarthy SW. An unusual variant of intraneural ganglion of the common peroneal nerve. Skelet Radiol. 2006;35(3):165-171."},{"issue":"11","key":"bib4","series-title":"Neurology","first-page":"1753","article-title":"Peroneal intraneural ganglion","volume":"65","author":"Bakshi","year":"2005","unstructured":"Bakshi NChan KMWirganowicz PZ. Peroneal intraneural ganglion. Neurology. 2005;65(11):1753."},{"key":"bib5","series-title":"Surgical Disorders of the Peripheral Nerves","author":"Seddon","year":"1972","unstructured":"Seddon SH. Surgical Disorders of the Peripheral Nerves. Churchill Livingstone;1972."},{"issue":"7","key":"bib6","series-title":"Clin Anat","first-page":"611","article-title":"Intraneural ganglion cyst: a 200-year-old mystery solved","volume":"21","author":"Spinner","year":"2008","unstructured":"Spinner RJVincent JFWolanskyj APScheithauer BW. Intraneural ganglion cyst: a 200-year-old mystery solved. Clin Anat. 2008;21(7):611-618."},{"issue":"6","key":"bib7","series-title":"Neurosurg Focus","first-page":"E17","article-title":"Peroneal and tibial intraneural ganglia: correlation between intraepineurial compartments observed on magnetic resonance images and the potential importance of these compartments","volume":"22","author":"Spinner","year":"2007","unstructured":"Spinner RJAmrami KKAngius DWang HCarmichael SW. Peroneal and tibial intraneural ganglia: correlation between intraepineurial compartments observed on magnetic resonance images and the potential importance of these compartments. Neurosurg Focus. 2007;22(6):E17."},{"issue":"2","key":"bib8","series-title":"J Neurosurg","first-page":"296","article-title":"Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory","volume":"107","author":"Spinner","year":"2007","unstructured":"Spinner RJAmrami KKWolanskyj AP, et al. Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory. J Neurosurg. 2007;107(2):296-307."},{"issue":"2","key":"bib9","series-title":"J Neurosurg","first-page":"330","article-title":"Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory","volume":"99","author":"Spinner","year":"2003","unstructured":"Spinner RJAtkinson JLDTiel RL. Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory. J Neurosurg. 2003;99(2):330-343."},{"issue":"6","key":"bib10","series-title":"Neurosurg Focus","first-page":"1","article-title":"Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory","volume":"22","author":"Spinner","year":"2007","unstructured":"Spinner RJAmrami KKWolanskyj AP, et al. Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory. Neurosurg Focus. 2007;22(6):1-12."},{"issue":"3","key":"bib11","series-title":"Neurosurgery","first-page":"383","article-title":"Joint outcomes following surgery for superior tibiofibular joint-associated peroneal intraneural ganglion cysts","volume":"86","author":"Wilson","year":"2020","unstructured":"Wilson TJStone JJHowe BMRock MGSpinner RJ. Joint outcomes following surgery for superior tibiofibular joint-associated peroneal intraneural ganglion cysts. Neurosurgery. 2020;86(3):383-390."},{"issue":"6","key":"bib12","series-title":"J Hand Surg Br","first-page":"805","article-title":"Intraneural mucoid cysts of the upper limb","volume":"22","author":"Giele","year":"1997","unstructured":"Giele HLe Viet D. Intraneural mucoid cysts of the upper limb. J Hand Surg Br. 1997;22(6):805-809."},{"issue":"2","key":"bib13","series-title":"J Foot Ankle Surg","first-page":"401","article-title":"Concurrent lateral dorsal cutaneous and deep peroneal intraneural ganglion cysts in the foot","volume":"55","author":"Prasad","year":"2016","unstructured":"Prasad NKAmrami KKJentoft MESpinner RJ. Concurrent lateral dorsal cutaneous and deep peroneal intraneural ganglion cysts in the foot. J Foot Ankle Surg. 2016;55(2):401-405."},{"issue":"1","key":"bib14","series-title":"Skelet Radiol","first-page":"79","article-title":"Sequential tibial and peroneal intraneural ganglia arising from the superior tibiofibular joint","volume":"37","author":"Spinner","year":"2008","unstructured":"Spinner RJDesy NMAmrami KK. Sequential tibial and peroneal intraneural ganglia arising from the superior tibiofibular joint. 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J Neurosurg. 2003;99(2):330-343."},{"issue":"6","key":"bib10","series-title":"Neurosurg Focus","first-page":"1","article-title":"Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory","volume":"22","author":"Spinner","year":"2007","unstructured":"Spinner RJAmrami KKWolanskyj AP, et al. Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory. Neurosurg Focus. 2007;22(6):1-12."},{"issue":"3","key":"bib11","series-title":"Neurosurgery","first-page":"383","article-title":"Joint outcomes following surgery for superior tibiofibular joint-associated peroneal intraneural ganglion cysts","volume":"86","author":"Wilson","year":"2020","unstructured":"Wilson TJStone JJHowe BMRock MGSpinner RJ. Joint outcomes following surgery for superior tibiofibular joint-associated peroneal intraneural ganglion cysts. 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J Foot Ankle Surg. 2016;55(2):401-405."},{"issue":"1","key":"bib14","series-title":"Skelet Radiol","first-page":"79","article-title":"Sequential tibial and peroneal intraneural ganglia arising from the superior tibiofibular joint","volume":"37","author":"Spinner","year":"2008","unstructured":"Spinner RJDesy NMAmrami KK. Sequential tibial and peroneal intraneural ganglia arising from the superior tibiofibular joint. Skelet Radiol. 2008;37(1):79-84."},{"issue":"4","key":"bib15","series-title":"Clin Anat","first-page":"548","article-title":"Hilton\u2019s law revisited","volume":"27","author":"H\u00e9bert-Blouin","year":"2014","unstructured":"H\u00e9bert-Blouin MNTubbs RSCarmichael SWSpinner RJ. Hilton\u2019s law revisited. Clin Anat. 2014;27(4):548-555."},{"issue":"4","key":"bib16","series-title":"Skelet Radiol","first-page":"281","article-title":"The clinico-anatomic explanation for tibial intraneural ganglion cysts arising from the superior tibiofibular joint","volume":"36","author":"Spinner","year":"2007","unstructured":"Spinner RJMokhtarzadeh ASchiefer TKKrishnan KGKliot MAmrami KK. The clinico-anatomic explanation for tibial intraneural ganglion cysts arising from the superior tibiofibular joint. Skelet Radiol. 2007;36(4):281-292."},{"key":"bib17","series-title":"World Neurosurg","first-page":"658","article-title":"Pediatric intraneural ganglia: the value of a systematic review for \u201corphan\u201d conditions","volume":"91","author":"Desy","year":"2016","unstructured":"Desy NMSpinner RJ. Pediatric intraneural ganglia: the value of a systematic review for \u201corphan\u201d conditions. 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