AccScience Publishing / AN / Online First / DOI: 10.36922/AN025080014
CASE REPORT

Diagnosis and surgical management of ulnar nerve neuropathy due to a ganglion cyst: A case report

Linda Huiling Lim1 Ziqun Phua2 Sheila Srinivasan3 Peter Ying Khai Hwang1 Crystal Jing Jing Yeo3*
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1 Department of Neurosurgery, National Neuroscience Institute, Singapore
2 Neurodiagnostic Laboratory, National Neuroscience Institute, Singapore
3 Department of Neurology, National Neuroscience Institute, Singapore
Advanced Neurology, 025080014 https://doi.org/10.36922/AN025080014
Received: 19 February 2025 | Revised: 7 April 2025 | Accepted: 18 April 2025 | Published online: 2 May 2025
© 2025 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Cubital tunnel syndrome (CTS) of the elbow secondary to a ganglion cyst is uncommon, with an incidence of 4 – 10% reported in some studies. This case report describes the ultrasound (US) and intraoperative findings of CTS caused by a ganglion cyst. It highlights the diagnostic importance of US and how it can provide detailed information regarding the severity of CTS. This report aims to raise awareness of ganglion cysts as a possible differential in cases of ulnar nerve neuropathy and to emphasize their relevance in surgical planning and management.

Keywords
Ulnar neuropathy
Ganglion cyst
Ultrasound
Funding
None.
Conflict of interest
The authors declare no conflicts of interest.
References
  1. Chauhan M, Prashanth A, Das JM. Cubital Tunnel Syndrome; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/ NBK538259/?report=printable [Last accessed on 2025 Jan 24].

 

  1. Chang KV, Wu WT, Han DS, Özçakar L. Ulnar nerve cross-sectional area for the diagnosis of cubital tunnel syndrome: A meta-analysis of ultrasonographic measurements. Arch Phys Med Rehabil. 2018;99(4):743-757. doi: 10.1016/j.apmr.2017.08.467

 

  1. Gresgush RE, Habusta SF. Ganglion Cyst; 2023. https://www. ncbi.nlm.nih.gov/books/NBK470168 [Last accessed on 2025 Jan 27].

 

  1. Ayromlou H, Tarzamni MK, Daghighi MH, et al. Diagnostic value of ultrasonography and magnetic resonance imaging in ulnar neuropathy at the elbow. ISRN Neurol. 2012;2012:491892. doi: 10.5402/2012/491892

 

  1. Chang WK, Li YP, Zhang DF, Liang BS. The cubital tunnel syndrome caused by the intraneural or extraneural ganglion cysts: Case report and review of the literature. J Plast Reconstruct Aesthet Surg. 2017;70(10):1404-1408. doi: 10.1016/j.bjps.2017.05.006

 

  1. Tong J, Xu B, Dong Z, Liu J, Zhang C, Gu Y. Cubital tunnel syndrome caused by ganglion cysts: A review of 59 cases. Acta Neurochir (Wien). 2017;159(7):1265-1271. doi: 10.1007/s00701-017-3180-6

 

  1. Gashi YN, Naiem MEA. Cubital tunnel syndrome of the ulnar nerve caused by an epineural ganglion cyst: A case report and review of the literature. J Med Case Rep. 2023;17(1):104. doi: 10.1186/s13256-023-03815-2

 

  1. Li P, Lou D, Lu H. The cubital tunnel syndrome caused by intraneural ganglion cyst of the ulnar nerve at the elbow: A case report. BMC Neurol. 2018;18(1):217. doi: 10.1186/s12883-018-1229-7

 

  1. Yalikun A, Yushan M, Hamiti Y, Lu C, Yusufu A. Intraneural or extraneural ganglion cysts as a cause of cubital tunnel syndrome: A retrospective observational study. Front Neurol. 2022;13:921811. doi: 10.3389/fneur.2022.921811

 

  1. Crawford C, Keswani A, Lovy AJ, et al. Arthroscopic versus open excision of dorsal ganglion cysts: A systematic review. J Hand Surg Eur Vol. 2018;43(6):659-664. doi: 10.1177/1753193417734428

 

  1. Cluts LM, Fowler JR. Factors impacting recurrence rate after open ganglion cyst excision. Hand. 2022;17(2):261-265. doi: 10.1177/1558944720921477

 

  1. Konigsberg MW, Tedesco LJ, Mueller JD, et al. Recurrence rates of dorsal wrist ganglion cysts after arthroscopic versus open surgical excision: A retrospective comparison. Hand. 2023;18(1):133-138. doi: 10.1177/15589447211003184

 

  1. Macdermid JC, Grewal R. Development and Validation of the Patient-Rated Ulnar Nerve Evaluation; 2013. Available from: https://www.biomedcentral.com/1471-2474/14/146 [Last accessed on 2025 Jan 24].

 

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Advanced Neurology, Electronic ISSN: 2810-9619 Print ISSN: 3060-8589, Published by AccScience Publishing