Surgical treatment of sural nerve entrapment aided by imaging- and electrography-based diagnosis : illustrative case

BACKGROUND: The sural nerve (SN) is a cutaneous sensory nerve that innervates the posterolateral side of the distal third of the leg and lateral side of the foot. The SN has wide variation in its course and is fixed to the subcutaneous tissue and superficial fascia. Idiopathic spontaneous SN neuropathy is rarely surgically treated because of the difficulty in detecting SN entrapment.

OBSERVATIONS: Herein, the authors present a rare case of surgically treated spontaneous SN neuropathy. A 67-year-old male patient presented with right foot pain for several years. Magnetic resonance imaging and ultrasonography showed SN entrapment slightly proximal and posterior to the lateral malleolus. A nerve conduction study showed SN disturbance. After undergoing neurolysis, the patient's foot pain was alleviated.

LESSONS: Idiopathic SN neuropathy can be treated surgically when SN entrapment is detected with comprehensive evaluation methods.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:5

Enthalten in:

Journal of neurosurgery. Case lessons - 5(2023), 24 vom: 12. Juni

Sprache:

Englisch

Beteiligte Personen:

Matsubara, Maoki [VerfasserIn]
Yagi, Kenji [VerfasserIn]
Hemmi, Shoji [VerfasserIn]
Uno, Masaaki [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Neurolysis
Peripheral neuropathy
Sural nerve entrapment

Anmerkungen:

Date Revised 07.10.2023

published: Electronic-Print

Citation Status PubMed-not-MEDLINE

doi:

10.3171/CASE2387

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358365295