Rathke's cleft cyst presenting as pituitary apoplexy.
Sellar lesions mainly constitute pituitary adenomas, craniopharyngiomas and benign cysts. Rathke's pouch cyst is a developmental sellar and/or suprasellar cystic lesion lined by a single layer of ciliated cuboidal or columnar epithelium, which rarely be comes symptomatic. The authors present an interesting case of intrasellar Rathke's pouch cyst, with a presenting feature of acute pituitary apoplexy. This was a 19 year old healthy male who had developed sudden headache and visual disturbance. Neuro-radiological imaging revealed a mass in the sella. Via transsphenoidal approach a haemorrhagic intrasellar cystic lesion was removed and was confirmed as a haemorrhagic Rathke's cleft cyst by histopathological examination. Interesting clinical presentations and the neuroimaging findings are described and discussed.
Pawar
Sanjay J
SJ
Department of the National Neurosurgical Centre, Khoula Hospital, Mina-Al-Fahal, Muscat, Postal Code 116, Sultanate of Oman.
Sharma
Rewati Raman
RR
Lad
Santosh D
SD
Dev
Ebenezer
E
Devadas
Rama Verma
RV
D000328:Adult; D020863:Central Nervous System Cysts / Q000098:blood supply / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019299:Decompression, Surgical; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010899:Pituitary Apoplexy / Q000175:diagnosis / Q000209:etiology*; D010911:Pituitary Neoplasms / Q000098:blood supply / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012658:Sella Turcica