title: Rathke's cyst with ectopic neurohypophysis presenting as severe short stature with delayed puberty.
abstract: Ectopic neurohypophysis (EN) is found in nearly half of children with growth hormone deficiency (GHD). Rathke's cyst (RC) is uncommon in children and when present, hypopituitarism is found in nearly half of them. We present a fourteen and half-year-old girl with severe short stature and delayed puberty who on evaluation was found to have GHD, secondary hypocortisolism, and hypogonadism. Imaging revealed hypoplastic anterior pituitary, stalk agenesis, EN at tuber cinereum and intrapituitary RC. This is perhaps the first report of simultaneous occurrence of EN and RC, which was seen in a girl with multiple pituitary hormone deficiency. A primary defect in pituitary development may explain this simultaneous occurrence of EN and RC and hence this severe anterior pituitary function deficit.
authors.affiliation: Department of Endocrinology & Metabolism, IPGMER & SSKM Hospital, Kolkata, India.
authors.forename: Deep
authors.initials: D
authors.lastname: Dutta
authors.forename: Ajitesh
authors.initials: A
authors.lastname: Roy
authors.forename: Sujoy
authors.initials: S
authors.lastname: Ghosh
authors.forename: Pradip
authors.initials: P
authors.lastname: Mukhopadhyay
authors.forename: Ranen
authors.initials: R
authors.lastname: Dasgupta
authors.forename: Satinath
authors.initials: S
authors.lastname: Mukhopadhyay
authors.forename: Subhankar
authors.initials: S
authors.lastname: Chowdhury
keywords: Ectopic neurohypophysis; Rathke's cyst; multiple pituitary hormone deficiency; short stature
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