Cubital Tunnel Syndrome Due to Multiple Intraneural Cysts at Elbow: A Case Report and Review of Literature

Abstract

Cubital tunnel syndrome is a common disorder that affects the upper limb and involves compression of the ulnar nerve. However, this syndrome is rarely caused by multiple intraneural ganglion cysts. Of all intraneural ganglion cysts, only 9% affect the elbow. This study presents a case report of a 73-year-old female patient who manifested pain, numbness, tingling, and paralysis of the medial aspect of her left forearm, fourth, and fifth fingers of the left hand for six months. Intraoperative findings showed multiple intraneural cysts at the left elbow, which were confirmed via histopathology. The cysts were surgically excised, whereas the ulnar nerve was released into the cubital tunnel and anteriorly transposed. Complete sensory and motor recovery were achieved. Although similar cases of intraneural cysts were reported in the literature, this case has the uniqueness of the unusual number and site of intraneural cysts in the ulnar nerve on the background of osteoarthritic changes. Therefore, the aim of reporting this case is to increase awareness of the presence of these cysts when the symptoms are severe.