Radiologic Characteristics and Results of Surgical Management of Rathke??s Cysts in 43 Patients

Ross, Donald A.; Norman, David; Wilson, Charles B.

doi:10.1097/00006123-199202000-00004

Cited by 26 publications

(3 citation statements)

References 33 publications

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“…The recurrence rate of RCCs reported across various case series in the literature varies from 5% reported by Voelker et al with an average follow-up of 3 months, to as high as a 33% recurrence rate over a median follow up of 30 months [7,8,14]. In the study by Aho et al there were 21 recurrences out of 118 patients (18%), with significant correlation with the use of autologous adipose tissue or rectus abdominis fascial grafts [15].…”

Section: Discussionmentioning

confidence: 96%

Rathke’s cleft cyst presenting as bilateral abducens nerve palsy

et al. 2009

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We present a patient with a Rathke's cleft cyst who presented with rapidly progressive bilateral 6th nerve palsy. A 20-year-old woman with a history of cleft palate, hypertension, and hydronephrotic kidneys presented with a one month history of headache, associated with dizziness and diplopia on horizontal gaze. Examination was significant for profound bilateral 6th nerve palsies. Magnetic resonance imaging showed a hypodense mass that filled the sella and compressed the right cavernous sinus without contacting the optic chiasm. Pituitary function was normal. An endoscopic, transnasal transsphenoidal resection of the lesion was performed; microscopic examination revealed a Rathke's cleft cyst. Surgical excision resulted in near complete resolution of the bilateral 6th nerve palsy. Rathke's cleft cysts are an unusual cause of bilateral sixth nerve palsy and represent a potential cause of cranial neuropathy.

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Section: Discussionmentioning

confidence: 96%

Rathke’s cleft cyst presenting as bilateral abducens nerve palsy

et al. 2009

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“…Intracystic nodules, that are waxy nodules, if present, show characteristically intensity on MRI 5 . RCCs are almost always homogeneous in MR intensity, except for waxy nodules, whereas other lesions such as cystic craniopharyngioma and hemorrhagic adenomas are less frequently homogeneous 6 . A high T1-WI intensity has been interpreted to indicate a high content of protein and mucocopolysaccharide and, rarely are hemorrhage 7 .…”

Section: Discussionmentioning

confidence: 99%

Rathke's cleft cyst and partial feet adactyly: an unusual association

Gondim

Schops

Cavalcante

et al. 2007

Arq. Neuro-Psiquiatr.

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-A 53 year-old woman presented a recurrent bifrontal headache of 2 years duration and bilateral progressive visual disturbance. The clinical and neurological examination showed a bilateral feet adactyly and bitemporal hemianopsia. The brain MRI demonstrated a Rathke´s cleft cyst. The patient was operated by a transnasal endoscopic approach. It seems that this unusual association has never been described before.KEY WORDS: adactyly, endoscopic, pituitary surgery, pituitary tumor, rathke´s cleft cyst, transnasal approach.Cisto de Rathke e adactilia parcial dos pés: uma associação rara RESUMO -Mulher de 53 anos com história recorrente de cefaléia com duração de 2 anos bilateral e progressiva, acompanhada de distúrbios visuais. O exame clinico e neurológico mostrou uma adactilia dos pés e hemianopsia bitemporal. A ressonância nuclear magnética cerebral mostrou um cisto de Rathke. A paciente foi operada por via transnasal endoscópica. Aparentemente esta é a primeira vez que esta associação é descrita na literatura.PALAVRAS-CHAVE: adactilia, endoscopia, cirurgia hipofisária, cisto de rathke, tumor de hipófise, via transnasal.

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“…When symptomatic either because of headaches, endocrinopathy or, less commonly, visual loss, the goals of surgery are to decompress the cyst and obtain a small biopsy of the cyst wall to be certain that the lesion is not a craniopharyngioma. Complete removal of the cyst wall is generally not advocated as it typically lines the anterior and posterior lobes of the pituitary gland and, for purely supraglandular cysts, it can often be adherent to the infundibulum [ 112 ]. Aggressive attempts at cyst wall removal can lead to postoperative hypopituitarism [ 2 , 17 ].…”

Section: Rathke ' S Cleft Cystsmentioning

confidence: 99%

Transsphenoidal endoscopic skull base surgery: state of the art and future perspective

Cutler

Barkhoudarian

Griffiths³

et al. 2013

Innovative Neurosurgery

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Given refinements in endoscopic image quality, instrumentation, surgical navigation, skull base closure techniques and anatomical understanding, the endonasal endoscopic approach is now a well-accepted and widely utilized technique for removal of many if not most midline ventral skull base tumors. Pituitary adenomas and Rathke ' s cleft cysts (RCCs) constitute the majority of lesions removed via this route; however, craniopharyngiomas, clival chordomas, midline meningiomas and other benign and malignant skull base tumors are now increasingly removed by this approach. Herein we describe the evolution of the endonasal endoscopic technique, its current use for sellar and midline skull base tumors and potential for future innovation.

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Radiologic Characteristics and Results of Surgical Management of Rathke??s Cysts in 43 Patients

Cited by 26 publications

References 33 publications

Rathke’s cleft cyst presenting as bilateral abducens nerve palsy

Rathke’s cleft cyst presenting as bilateral abducens nerve palsy

Rathke's cleft cyst and partial feet adactyly: an unusual association

Transsphenoidal endoscopic skull base surgery: state of the art and future perspective

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