Symptomatic Rathke’s Cleft Cyst Presenting With Decreased Visual Acuity

Background and Importance: Symptomatic Rathke’s cleft cyst is a rare lesion that often presents without any symptoms.  Case Presentation: We report a 40-year-old female with symptomatic Rathke’s cleft cyst located in the sellar and suprasellar region. She presented with visual disturbance, headache, weight gain, hypothyroidism and amenorrhea. The patient underwent surgery and the pathological examination confirmed Rathke’s cleft cyst. Conclusion: Although the symptomatic Rathke’s cleft cyst is rare, the differential diagnosis must be done with intrasellar and suprasellar lesions.