Abstract
Abstract
Background
A Rathke’s cleft cyst is a benign intrasellar cystic lesion, with suprasellar extension reported in a few cases. An entirely suprasellar Rathke’s cleft cyst without any intrasellar component, though previously reported, is rare.
Case presentation
We report a case of an entirely suprasellar Rathke’s cyst in a 25-year-old female presenting with headache and visual complaints. The patient was treated surgically by drainage of the cyst and removal of the cyst wall by transcranial approach. Histopathology and immunohistochemistry confirmed the diagnosis of Rathke’s cyst. We review the relevant literature and discuss its neuroembryologic pathogenesis, pathology and the factors influencing the recurrence of the cyst.
Conclusions
To the best of our knowledge, only 62 cases of an entirely suprasellar Rathke’s cyst have been reported till date.
Publisher
Springer Science and Business Media LLC
Subject
General Materials Science
Reference33 articles.
1. Kanter AS, Sansur CA, Jane JAJ Jr, Laws ERJ Jr. Rathke’s cleft cysts. Front Horm Res. 2006;34:127–57.
2. Zhang Y, Chen C, Tian Z, Cheng Y, Xu J. Differentiation of pituitary adenoma from Rathke cleft cyst: combining MR image features with texture features. Contrast Media Mol Imaging. 2019;2019:6584636.
3. Choi SH, Kwon BJ, Na DG, Kim JH, Han MH, Chang KH. Pituitary adenoma, craniopharyngioma, and Rathke cleft cyst involving both intrasellar and suprasellar regions: differentiation using MRI. Clin Radiol. 2007;62(5):453–62.
4. Gaddikeri S, Vattoth S, Riley KO, DeHoff GW, Smith CB, Combs JT, Roberson GH. Rathke cleft cyst. MRI criteria for presumptive diagnosis. Neurosciences (Riyadh). 2013;18(3):258–63.
5. Teramoto A, Hirakawa K, Sanno N, et al. Incidental pituitary lesions in 1000 unselected autopsy specimens. Radiology. 1994;193:161–4.