Keimyung Med J.  2014 Dec;33(2):159-163. 10.0000/kmj.2014.33.2.159.

A Case of Rathke Cleft Cyst Apoplexy

• Kim E

• KMID: 1967205
• DOI: http://doi.org/10.0000/kmj.2014.33.2.159

Abstract

Rathke cleft cysts (RCCs) are benign epithelial lesions of the sellar and suprasellar region. Most RCCs remain clinically silent throughout an individual's life. Symptomatic patients with RCCs manifest headaches, endocrinopathies, and visual disturbances secondary to parasellar extension. Rarely, RCCs can present in a manner similar to pituitary tumor apoplexy. One such case is reported herein. This 53-year-old man presented with acute headache, vomiting, and partial hypopituitarism. Surgical drainage of the cyst contents via a transnasal route confirmed the diagnosis of RCC and pituitary infarction.

Keyword

Headache; Hypopituitarism; Pituitary apoplexy; Rathke cleft cyst

MeSH Terms

Central Nervous System Cysts
Diagnosis
Drainage
Headache
Humans
Hypopituitarism
Infarction
Middle Aged
Pituitary Apoplexy
Pituitary Neoplasms
Stroke*
Vomiting