Venous compressions of the nerves in the lower limbs

Abstract

An early diagnosis of NCS using various neuroimaging techniques and prompt treatment may improve the response to surgical therapy. The aim of the case studies described is to improve understanding of these pathologies thus enabling correct clinical decisions.

Posterior tibial vein aneurysm presenting as tarsal tunnel syndrome

“…5 TTS has been reported to occur after saphenous vein stripping. 6 Table 1 lists the reports of venous lesions causing TTS. [6][7][8][9][10][11][12] A search on PubMed, for English literature till March 2014, with the Mesh terms (''tarsal tunnel syndrome'' and ''veins'') and (''tarsal tunnel syndrome'' and ''aneurysm'') revealed 12 results, [9][10][11][12][13][14][15][16][17][18][19][20] none of which reported a venous aneurysm as an etiology of TTS.…”

“…[6][7][8][9][10][11][12] A search on PubMed, for English literature till March 2014, with the Mesh terms (''tarsal tunnel syndrome'' and ''veins'') and (''tarsal tunnel syndrome'' and ''aneurysm'') revealed 12 results, [9][10][11][12][13][14][15][16][17][18][19][20] none of which reported a venous aneurysm as an etiology of TTS. Further search with the keywords ''tarsal tunnel syndrome vein'' revealed 18 results, 6,[9][10][11][12][13][14][15][16][17][18][19][21][22][23][24][25][26] none of which indicated venous aneurysm as a cause of TTS. Finally, we also reviewed the references from these 19 articles and found none reporting venous aneurysm as an independent etiology of TTS.…”

“…MRI is a useful tool to visualize the anatomy of the tarsal tunnel and to detect abnormalities. 6,27,28 Case report 1 1 0 0 0 Turan et al 10 Case series 18 6 0 0 11 Kohno et al 13 Case series 9 9 0 0 0 Nagaoka and Matsuzaki 11 Case series 17 3 0 0 14 Pasku et al 12 Case report 2 2 0 0 0 Artico et al 6 Case series 8 5 1 2 0 TTS: tarsal tunnel syndrome.…”

“…5 TTS has been reported to occur after saphenous vein stripping. 6 Table 1 lists the reports of venous lesions causing TTS. 6–12…”

Treatment of anterior tarsal tunnel syndrome through an endoscopic or open technique

“…Another cause of nerve compression can be dilatation of the venous vessels (anterior tibial veins) that accompany the dorsalis pedis artery [3]. This is an unusual cause of nerve compression encountered sometimes in various locations [4,5].…”