Fascicular involvement of the posterior tibial nerve as a result of perineural ganglion cyst at the posterior tibial nerve in the calf: A case report and review of literature

Chilvana Patel, Surya Murthy Vishnubhakat, Raj Narayan

Research output: Contribution to journalArticle


We report a 19-year-old woman with a 6-month history of nontraumatic left foot numbness associated with intermittent weakness. Nerve conduction studies and electromyography localized the lesion to the posterior tibial nerve, below the innervation to the soleus and medial gastrocnemius muscles. MRI of the left leg revealed a multiloculated cystic collection near the proximal tibiofibular joint. Surgical excision and pathology confirmed the diagnosis of a ganglion cyst, in an atypical location distal to the popliteal fossa. We believe this is the first reported case of fascicular posterior tibial nerve involvement by a ganglion cyst in the calf.

Original languageEnglish (US)
Pages (from-to)84-87
Number of pages4
JournalJournal of Clinical Neuromuscular Disease
Issue number2
StatePublished - 2015
Externally publishedYes



  • Fascicular lesion
  • Ganglion cyst
  • Tibial nerve injury

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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