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A 57-year-old man presented with a painful multinodular tumoral mass developing, over 7 months, in the lateral part of his right leg. MRI demonstrated a multinodular sural intraneural ganglion cyst. The swollen sural nerve was surgically removed, and the tumor adhered to the subtalar joint. The surgical specimen revealed an intraneural ganglion cyst (figure 1). Sixteen months after the surgery, the tumor recurred and was excised with the adhered subtalar joint capsule (figure 2). The recurring cyst was not connected to the peripheral nerve. This case highlights the synovial (articular) origin of intraneural ganglion cysts.1

Teaching Neuro Images : Recurrence of a sural intraneural ganglion cyst after sural nerve resection