scholarly journals Enlarging pediatric ectopic Rathke’s cleft cyst in the prepontine cistern: case report

2017 ◽  
Vol 20 (5) ◽  
pp. 480-484 ◽  
Author(s):  
Takamasa Kamei ◽  
Masahiro Nonaka ◽  
Yoshiko Uemura ◽  
Yasuo Yamanouchi ◽  
Yumiko Komori ◽  
...  
Keyword(s):  
Cyst Wall ◽  
Histopathological Examination ◽  
Sella Turcica ◽  
Preoperative Imaging ◽  
Rathke’S Cleft Cyst ◽  
Ciliated Cells ◽  
Rathke's Cleft Cyst ◽  
Pediatric Case ◽  
Prepontine Cistern ◽  
Rathke's Cleft

Rathke’s cleft cyst is a cystic disease that occurs in the sella turcica or, occasionally, in the suprasellar area. An ectopic Rathke’s cleft cyst is extremely rare, and its nature is less well understood. The authors report the case of a 14-year-old girl who presented with a growing cystic lesion in the prepontine cistern, immediately behind the dorsum sellae. Preoperative imaging and intraoperative investigation showed part of the cyst wall continuing into the dorsum sellae, to the pituitary gland. The cisternal portion of the cyst wall was totally resected via a right subtemporal approach. Histopathological examination of the cyst wall showed a monolayer of ciliated cells, identical to those of Rathke’s cleft cyst. To the best of the authors’ knowledge, this represents the first pediatric case of Rathke’s cleft cyst occurring in the prepontine cistern.

Rathke's Cleft Cyst

1996 ◽  
Vol 37 (3P2) ◽  
pp. 596-598 ◽  
Author(s):  
K. Skjødt ◽  
A. Loft Edal ◽  
H. J. Nepper-Rasmussen
Keyword(s):  
Cyst Wall ◽  
Rathke’S Cleft Cyst ◽  
Cell Debris ◽  
Rathke's Cleft Cyst ◽  
Rathke's Cleft ◽  
Fast Field

Two patients with Rathke's cleft cyst with uncommon MR signals, hyperintensity on T1-weighted, and hypointensity on T2-weighted 3-D fast field echo (FFE) imaging are reported. We suggest that this is due to high content of cholesterol or mucopolysaccharide, possibly combined with cell debris from the cyst wall.

scholarly journals GH-Producing Pituitary Adenoma and Concomitant Rathke’s Cleft Cyst: A Case Report and Short Review

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Ryota Tamura ◽  
Satoshi Takahashi ◽  
Katsura Emoto ◽  
Hideaki Nagashima ◽  
Masahiro Toda ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Sella Turcica ◽  
Short Review ◽  
Pituitary Hormones ◽  
Rathke’S Cleft Cyst ◽  
Resonance Imaging ◽  
Mr Images ◽  
Rathke's Cleft Cyst ◽  
Magnetic Resonance Imaging Mri ◽  
Rathke's Cleft

Concomitant pituitary adenoma (PA) and Rathke’s cleft cyst (RCC) are rare. In some cases, such PA is known to produce pituitary hormones. A 53-year-old man was admitted to our hospital with a diagnosis of lacunar infarction in the left basal ganglia. Magnetic resonance imaging (MRI) incidentally showed a suprasellar mass with radiographic features of RCC. When he consulted with a neurosurgical outpatient clinic, acromegaly was suspected based on his appearance. A diagnosis of growth hormone- (GH-) producing PA was confirmed from hormonal examinations and additional MRI. Retrospectively, initial MR images also showed intrasellar mass that is compatible with the diagnosis of PA other than suprasellar RCC. The patient underwent endonasal-endoscopic removal of the PA. Since we judged that the RCC of the patient was asymptomatic, only the PA was completely removed. The postoperative course of the patient was uneventful and GH levels gradually normalized. Only 40 cases of PA with concomitant RCC have been reported to date, including 13 cases of GH-producing PA. In those 13 cases, RCC tended to be located in the sella turcica, and suprasellar RCC like this case appears rare. In a few cases, concomitant RCCs were fenestrated, but GH levels normalized postoperatively as in the cases without RCC fenestration. If radiographic imaging shows typical RCC, and PA is not obvious at first glance, the possibility of concomitant PA still needs to be considered. In terms of treatment, removal of the RCC is not needed to achieve hormone normalization.

scholarly journals Intrasphenoidal Rathke’s Cleft Cyst: Case presentation and review of the literature

2016 ◽  
Vol 30 (4) ◽  
pp. 520-525 ◽  
Author(s):  
Umit Kocaman ◽  
Muhammet Bahadir Yilmaz ◽  
Hakan Yilmaz
Keyword(s):  
Benign Lesion ◽  
Rathke’S Cleft Cyst ◽  
Review Of The Literature ◽  
Rathke's Cleft Cyst ◽  
Case Presentation ◽  
Prepontine Cistern ◽  
Autopsy Series ◽  
Pituitary Glands ◽  
Visual Problems ◽  
Rathke's Cleft

Abstract Rathke’s cleft cyst is a benign lesion of embryological origin with sellarsuprasellar localization. It is found in 12-33% of normal pituitary glands in autopsy series. Although it is mostly asymptomatic, it can cause symptoms by compressing surrounding neural and pituitary tissues. The most common symptoms are endocrine problems, visual problems and headache. Uncommonly, the lesion can present with apoplexy. It is rarely reported outside sellar-suprasellar sites, such as the cerebellopontine angle, prepontine cistern, and intrasphenoidal locations. We present an intrasphenoidal Rathke’s cleft cyst found during investigation of a headache and operated on. We discussed the case with literature review and two similar reported cases.

Magnetic Resonance Imaging of Symptomatic Rathke's Cleft Cyst: Report of a Case

Neurosurgery ◽  
1989 ◽  
Vol 24 (2) ◽  
pp. 276-278 ◽  
Author(s):  
V. G. Wagle ◽  
D. Nelson ◽  
A. Rossi ◽  
D. Uphoff
Keyword(s):  
Pituitary Gland ◽  
Carotid Arteries ◽  
Clinical Evidence ◽  
Sella Turcica ◽  
Optic Chiasm ◽  
Rathke’S Cleft Cyst ◽  
Resonance Imaging ◽  
Rathke's Cleft Cyst ◽  
Rathke's Cleft ◽  
Optimal Visualization

Abstract A case of symptomatic Rathke's cleft cyst is described. In spite of the intrasellar component and radiological and clinical evidence of involvement of the pituitary gland, the sella turcica was minimally involved. MRI afforded optimal visualization and localization of the intra- and suprasellar components vis-à-vis the pituitary gland, optic chiasm, infundibular stalk, and carotid arteries.

A simple, safe, and effective method of cyst wall removal for Rathke’s cleft cyst

2014 ◽  
Vol 156 (10) ◽  
pp. 1923-1924
Author(s):  
Shoko Merrit Yamada ◽  
Yudo Ishii ◽  
Katsumi Hoya ◽  
Akira Matsuno
Keyword(s):  
Cyst Wall ◽  
Rathke’S Cleft Cyst ◽  
Rathke's Cleft Cyst ◽  
Rathke's Cleft

scholarly journals Pediatric case of the day. Rathke's cleft cyst.

Radiographics ◽  
1987 ◽  
Vol 7 (2) ◽  
pp. 385-388 ◽  
Author(s):  
R B Towbin ◽  
W S Ball ◽  
R A Kaufman
Keyword(s):  
Rathke’S Cleft Cyst ◽  
Rathke's Cleft Cyst ◽  
Pediatric Case ◽  
Rathke's Cleft

Reversible visual deficit following debulking of a Rathke's cleft cyst: a tethered chiasm?

1994 ◽  
Vol 81 (3) ◽  
pp. 459-462 ◽  
Author(s):  
Edwin G. Fischer ◽  
Umberto DeGirolami ◽  
James N. Suojanen
Keyword(s):  
Sella Turcica ◽  
Magnetic Resonance Images ◽  
Empty Sella ◽  
Anatomical Location ◽  
Rathke’S Cleft Cyst ◽  
Optic System ◽  
Rathke's Cleft Cyst ◽  
Anterior Portion ◽  
Content Type ◽  
Rathke's Cleft

✓ Delayed chiasmal syndromes after emptying of a Rathke's cleft cyst have not been reported previously. When these deficits occur following the treatment of parasellar lesions they are usually associated with the descent of a scarred optic system into an empty sella, and vision often improves promptly when the optic system is elevated. Two months after transsphenoidal surgery with emptying of a large intrasellar cyst, a 22-year-old man developed recurrent bitemporal visual field deficits over a 3-day period. Sagittal magnetic resonance images demonstrated an enhancing band of tissue extending anteriorly from the normally placed chiasm down to the anterior portion of the sella turcica. At craniotomy the enhancing tissue was found to be scar extending from the anterior border of the chiasm to the diaphragma sellae. The anterior portion of the diaphragm was resected as widely as possible without dissecting the scar itself from the chiasm. A membrane consistent with the wall of a Rathke's cleft cyst was found attached to the resected tissue. The patient's vision was improved 2 days after surgery. This case illustrates that traction by scar extending from the chiasm to the diaphragm, even when the chiasm is in its normal anatomical location, may cause progressive visual loss; and that untethering of the chiasm by resecting the diaphragm while leaving the scar intact can result in improved vision.

Abscess formation in a Rathke's cleft cyst

1972 ◽  
Vol 36 (3) ◽  
pp. 359-362 ◽  
Author(s):  
Theodore G. Obenchain ◽  
Donald P. Becker
Keyword(s):  
Pituitary Gland ◽  
Replacement Therapy ◽  
Sella Turcica ◽  
Methotrexate Therapy ◽  
Abscess Formation ◽  
Rathke’S Cleft Cyst ◽  
Rathke's Cleft Cyst ◽  
Content Type ◽  
Rathke's Cleft ◽  
Fine Print

✓ An abscessed Rathke's cleft cyst was removed in a 50-year-old woman who had had headaches and episodic fever for 3 years and had been on intermittent methotrexate therapy for psoriasis for 4 years. There was clinical and laboratory evidence of panhypopituitarism. Erosion of the sella turcica was present. The patient has remained asymptomatic on replacement therapy. A brief review of abscess formation in the region of the pituitary gland is presented.

Rathke's cleft cyst mimiking pituitary apoplexy: a case report

2018 ◽  
Author(s):  
Ines Barka ◽  
Faiza Bensmaine ◽  
Moctar Bah ◽  
Clara Bouche ◽  
Jean Francois Gautier
Keyword(s):  
Case Report ◽  
Pituitary Apoplexy ◽  
Rathke’S Cleft Cyst ◽  
Rathke's Cleft Cyst ◽  
Rathke's Cleft
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