Symptomatic Recurrence of a Residual Rathke’s Cleft Cyst Presenting As CSF Rhinorrhoea-A Rare Case Report

We present the first report of Rathke’s cleft cyst presenting as CSF rhinorrhea following an asymptomatic period of fourteen years after the first surgery.Our patient, a fifty five year female presented to us with CSF rhinorrhea and two episodes of generalized tonic clonic seizures. She had been operated earlier in 1997 through right pterional craniotomy for decompression of cystic sellar suprasellar mass and was histopathologically confirmed as Rathke’s cleft cyst.Recurrence of symptomatic Rathke cleft cyst is considered rare [5%-18%] 1 in various series. Our case is unique in the sense that the patient had been asymptomatic for fourteen years following which she developed symptoms.