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Rathke's cleft cyst presenting as pituitary apoplexy

2002; Elsevier BV; Volume: 9; Issue: 1 Linguagem: Inglês

10.1054/jocn.2001.0974

1532-2653

Sanjay J. Pawar, Rewati Raman Sharma, Santosh D. Lad, Ebenezer J. Dev, Rama Verma Devadas,

Teratomas and Epidermoid Cysts

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.