Endoscopic Endonasal Removal of an Intra-Suprasellar Rathke's Cleft Cyst: Case Report and Surgical Considerations

2002 ◽  
Vol 45 (1) ◽  
pp. 47-51 ◽  
Author(s):  
A. Alfieri ◽  
R. Schettino ◽  
A. Tarfani ◽  
O. Bonzi ◽  
G. A. Rossi ◽  
...  
2021 ◽  
Author(s):  
Emre Gezer ◽  
Burak Çabuk ◽  
Büşra Yaprak Bayrak ◽  
Zeynep Cantürk ◽  
Berrin Çetinarslan ◽  
...  

Abstract PurposeHypophysitis (HP) is a rare disease which develops secondary to chronic or acute inflammation of the pituitary gland and may cause symptoms related to pituitary dysfunction and mass compression. Lymphocytic HP is the most common subtype of primary HP, while xanthomatous HP (XHP) is considered the rarest form, with 35 reported cases, to date. Case ReportA 35-year-old woman was initially admitted to a Gynecology clinic with a 2-year history of amenorrhea and headache. She was started on cabergoline 0.5 mg twice a week for macroprolactinoma. Due to persistent amenorrhea with low gonadotropins, she was referred to our Endocrinology clinic. Her pituitary function profile revealed panhypopituitarism and a 13 x 11 x 12 mm sized sellar mass with diffuse enhancement which sustained toward the infundibulum and dura was observed on the gadolinium-enhanced pituitary MRI. The patient underwent an endoscopic endonasal transsphenoidal approach for tumor resection and thick yellowish fluid draining from the lesion was observed. The histopathological diagnosis was reported as a rupture of an Rathke’s cleft cyst and a xanthomatous hypophysitis. The surgery did not improve the symptoms/pituitary functions, however, headache recovered immediately after the first dose of high dose methylprednisolone treatment. ConclusionThe inflammatory process in a xanthomatous lesion may actually be a secondary response to mucous fluid content release from a ruptured cyst, thus recommended to classify XHP as secondary hypophysitis. Since the differentiation of XHP from other pituitary tumors may be challenging preoperatively, surgery is the major diagnostic tool and also, the most recommended therapeutic option.


2018 ◽  
Author(s):  
Ines Barka ◽  
Faiza Bensmaine ◽  
Moctar Bah ◽  
Clara Bouche ◽  
Jean Francois Gautier

1993 ◽  
Vol 2 (3) ◽  
pp. 238-243 ◽  
Author(s):  
Noriko Takasugi ◽  
Tomotsugu Ichikawa ◽  
Kimihiro Yoshino ◽  
Shunichiro Fujimoto ◽  
Akira Nishimoto ◽  
...  

2020 ◽  
Vol 68 ◽  
pp. 104-106
Author(s):  
Faisal A. Farrash ◽  
Maher Hassounah ◽  
Hala A. Helmi ◽  
Eyas Othman ◽  
Naif H. Alotaibi

2000 ◽  
Vol 47 (4) ◽  
pp. 393-399 ◽  
Author(s):  
HIROSHI IWAI ◽  
YASUHIRO OHNO ◽  
MADOKA HOSHIRO ◽  
MIKA FUJIMOTO ◽  
AKIYOSHI NISHIMURA ◽  
...  

1999 ◽  
Vol 46 (1) ◽  
pp. 187-192 ◽  
Author(s):  
SEIJI HAMA ◽  
KAZUNORI ARITA ◽  
ATSUSHI TOMINAGA ◽  
MASAMI YOSHIKAWA ◽  
KUNIKI EGUCHI ◽  
...  

Neurosurgery ◽  
1985 ◽  
Vol 17 (4) ◽  
pp. 657-659 ◽  
Author(s):  
Steven E. Swanson ◽  
William F. Chandler ◽  
Joseph Latack ◽  
Katerina Zis

Abstract A rare case of a pituitary adenoma found in association with a symptomatic Rathke's cleft cyst in a 34-year-old woman presenting with headaches, visual symptoms, and amenorrhea is described. The diagnostic evaluation and operative treatment of these coincident lesions are discussed.


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