Treatment of neuropathy of inferior gluteal and pudendal nerves following periarticular synovial cyst of the hip joint. A case report and literature review

Kurnukhina M.Yu.; Gusev A.A.; Govenko F.S.; Cherebillo V.Yu.

doi:https://doi.org/10.17116/neiro20218504164

Kurnukhina M.Yu.

I.P. Pavlov First Saint Petersburg State Medical University

Gusev A.A.

Tambov State University named after G.R. Derzhavin;
National University of Science and Technology (MISIS)

ORCID: 0000-0002-8699-9112

Govenko F.S.

Kirov Military Medical Academy

Cherebillo V.Yu.

I.P. Pavlov First Saint Petersburg State Medical University

Treatment of neuropathy of inferior gluteal and pudendal nerves following periarticular synovial cyst of the hip joint. A case report and literature review

Authors:

Kurnukhina M.Yu., Gusev A.A., Govenko F.S., Cherebillo V.Yu.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2021;85(4): 64‑68

DOI: 10.17116/neiro20218504164

Read: 5190 times

To cite this article:

Kurnukhina MYu, Gusev AA, Govenko FS, Cherebillo VYu. Treatment of neuropathy of inferior gluteal and pudendal nerves following periarticular synovial cyst of the hip joint. A case report and literature review. Burdenko's Journal of Neurosurgery. 2021;85(4):64‑68. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20218504164

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

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Abstract:

The authors report a patient with neuropathy of inferior gluteal and pudendal nerves following periarticular synovial cyst of the hip joint. Effectiveness of treatment was analyzed. ENMG and MRI of pelvic soft tissues and hip joint were applied to confirm neuropathy of inferior gluteal and genital nerves. Periarticular synovial cyst of the hip joint followed by compression and ischemia of inferior gluteal and pudendal nerves was detected. In pre- and postoperative period, intensity of pain syndrome was assessed using visual-analogue scale. Neuropathic pain and quality of life were evaluated using the Leeds scale (LANSS) and NeuroQoL questionnaire, respectively. The patient underwent microsurgical neurolysis and decompression of inferior gluteal and pudendal nerves and resection of periarticular synovial cyst of the hip joint. Complete regression of pain syndrome and improvement in quality of life were observed after surgery. Compression of neurovascular structures with periarticular hip cysts followed by clinical and neurological disorders is an indication for microsurgical neurolysis and resection of cyst.

Keywords:

periarticular cyst

hip joint

inferior gluteal nerve

pudendal nerve

neurolysis

quality of life

NeuroQoL

Authors:

Kurnukhina M.Yu.

I.P. Pavlov First Saint Petersburg State Medical University

Gusev A.A.

Tambov State University named after G.R. Derzhavin;
National University of Science and Technology (MISIS)

ORCID: 0000-0002-8699-9112

Govenko F.S.

Kirov Military Medical Academy

Cherebillo V.Yu.

I.P. Pavlov First Saint Petersburg State Medical University

Received:

06.07.2020

Accepted:

28.05.2021

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References:

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