A Rathke's Cleft Cyst Presenting with Apoplexy
نویسنده
چکیده
The occurrence of symptomatic pituitary hemorrhage into a Rathke's cleft cyst (RCC) is extremely rare. The author reports an interesting case of intra- and suprasellar RCC presented with features of pituitary apoplexy. This 62-year-old woman suffered acute headache, mental confusion, and partial hypopituitarism. The characteristics of the magnetic resonance imaging seemed most compatible with a hemorrhagic pituitary adenoma. Transsphenoidal drainage of the cyst contents confirmed the diagnosis of hemorrhagic RCC and resolved the symptoms. All published data on this rare clinical entity are extracted and reviewed.
منابع مشابه
Intrasphenoidal Rathke's Cleft Cyst: Case presentation and review of the literature
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 ...
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Rathke's cleft cysts (RCCs) are benign epithelium-lined intrasellar cysts containing mucoid material and are believed to originate from the remnants of Rathke's pouch. Most are asymptomatic but may cause symptoms secondary to compression of adjacent structures such as visual disturbances and endocrinopathies, especially hypopituitary. Furthermore, inflammation such as an aseptic meningitis synd...
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