Volume 4, Issue 1 (Winter 2018)                   Iran J Neurosurg 2018, 4(1): 41-44 | Back to browse issues page


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Samadian M, Ebrahim Zadeh K, Moradian Kokhdan K, Razmeh S, Sharifi G, Rezaee O, et al . Symptomatic Rathke’s Cleft Cyst Presenting With Decreased Visual Acuity. Iran J Neurosurg 2018; 4 (1) :41-44
URL: http://irjns.org/article-1-118-en.html
1- Department of Neurosurgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Neurosurgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , srazme82@gmail.com
3- Department of Neurology, School of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran.
Abstract:   (4522 Views)
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.
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Type of Study: Case report | Subject: Skull Base

References
1. Isono M, Kamida T, Kobayashi H, Shimomura T, Matsuyama J. Clinical features of symptomatic Rathke's cleft cyst. Clinical Neurology and Neurosurgery. 2001; 103(2):96-100. [DOI:10.1016/S0303-8467(01)00121-4] [DOI:10.1016/S0303-8467(01)00121-4]
2. Laws ER, Kanter AS. Rathke cleft cysts. Journal of Neurosurgery. 2004; 101(4):571-2. [DOI:10.3171/jns.2004.101.4.0571] [PMID] [DOI:10.3171/jns.2004.101.4.0571]
3. Osborn AG, Preece MT. Intracranial cysts: Radiologic-pathologic correlation and imaging approach. Radiology. 2006; 239(3):650-64. [DOI:10.1148/radiol.2393050823] [PMID] [DOI:10.1148/radiol.2393050823]
4. Kim E. Symptomatic Rathke cleft cyst: Clinical features and surgical outcomes. World Neurosurgery. 2012; 78(5):527-34. [DOI:10.1016/j.wneu.2011.12.091] [PMID] [DOI:10.1016/j.wneu.2011.12.091]
5. Nishikawa T, Takahashi JA, Shimatsu A, Hashimoto N. Hypophysitis caused by Rathke's cleft cyst. Neurologia Medico-Chirurgica. 2007; 47(3):136-9. [DOI:10.2176/nmc.47.136] [PMID] [DOI:10.2176/nmc.47.136]
6. Pawar SJ, Sharma RR, Lad SD, Dev E, Devadas RV. Rathke's cleft cyst presenting as pituitary apoplexy. Journal of Clinical Neuroscience. 2002; 9(1):76-9. [DOI:10.1054/jocn.2001.0974] [PMID] [DOI:10.1054/jocn.2001.0974]
7. Raper DM, Besser M. Clinical features, management and recurrence of symptomatic Rathke's cleft cyst. Journal of Clinical Neuroscience. 2009; 16(3):385-9. [DOI:10.1016/j.jocn.2008.04.023] [PMID] [DOI:10.1016/j.jocn.2008.04.023]
8. Tate MC, Jahangiri A, Blevins L, Kunwar S, Aghi MK. Infected Rathke cleft cysts: Distinguishing factors and factors predicting recurrence. Neurosurgery. 2010; 67(3):762-9. [DOI:10.1227/01.NEU.0000377017.53294.B5] [PMID] [DOI:10.1227/01.NEU.0000377017.53294.B5]
9. Tominaga JY, Higano S, Takahashi S. Characteristics of Rathke's cleft cyst in MR imaging. Magnetic Resonance in Medical Sciences. 2003; 2(1):1-8. [DOI:10.2463/mrms.2.1] [DOI:10.2463/mrms.2.1]
10. Wen L, Hu LB, Feng XY, Gaurav D, Zou LG, Wang WX, et al. Rathke's cleft cyst: Clinicopathological and MRI findings in 22 patients. Clinical Radiology. 2010; 65(1):47-55. [DOI:10.1016/j.crad.2009.09.010] [PMID] [DOI:10.1016/j.crad.2009.09.010]
11. Agarwal V, Palande D, Velho V, Binayke RS. Unusual site of Rathke's cleft cyst: A case report and review of literature. Asian Journal of Neurosurgery. 2017; 12(1):44-6. [DOI:10.4103/1793-5482.150003] [PMID] [PMCID] [DOI:10.4103/1793-5482.150003]
12. Aho CJ, Liu C, Zelman V, Couldwell WT, Weiss MH. Surgical outcomes in 118 patients with Rathke cleft cysts. Journal of Neurosurgery. 2005; 102(2):189-93. [DOI:10.3171/jns.2005.102.2.0189] [PMID] [DOI:10.3171/jns.2005.102.2.0189]
13. Benveniste RJ, King WA, Walsh J, Lee JS, Naidich TP, Post KD. Surgery for Rathke cleft cysts: Technical considerations and outcomes. Journal of Neurosurgery. 2004; 101(4):577-84. [DOI:10.3171/jns.2004.101.4.0577] [PMID] [DOI:10.3171/jns.2004.101.4.0577]
14. Kim JE, Kim JH, Kim OL, Paek SH, Kim DG, Chi JG, et al. Surgical treatment of symptomatic Rathke cleft cysts: Clinical features and results with special attention to recurrence. Journal of Neurosurgery. 2004; 100(1):33-40. [DOI:10.3171/jns.2004.100.1.0033] [PMID] [DOI:10.3171/jns.2004.100.1.0033]
15. Trifanescu R, Stavrinides V, Plaha P, Cudlip S, Byrne JV, Ansorge O, et al. Outcome in surgically treated Rathke's cleft cysts: long-term monitoring needed. European Journal of Endocrinology. 2011; 165(1):33-7. [DOI:10.1530/EJE-11-0142] [PMID] [DOI:10.1530/EJE-11-0142]

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