A giant retroclival Rathke's cleft cyst

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Chi-Cheng ChuangPing-Ching Pai

Abstract

Rathke's cleft cyst (RCC) is a rare sellar tumor that can extend to the retroclival region, resulting in brain stem compression. We report a male with short stature who experienced repeated syncope due to compression of the brain stem by a giant retroclival RCC. MRI revealed a large homogeneous sellar tumor with anterior displacement of the pituitary gland that extended to the left retroclival space. The tumor differed from ordinary RCCs because of its unusual clinical presentation, the direction of extension, and its imaging characteristics. The retromastoid surgical approach was used for cyst marsupialization. Intraoperative appearance and histological examination confirmed the diagnosis. A follow-up MRI, 2years after resection of the cyst, showed no recurrence.

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Citations

May 6, 2014·Clinical Neurology and Neurosurgery·Chih-Hsiang LiaoYang-Hsin Shih
Oct 23, 2013·Journal of Neuro-oncology·Seunggu J HanManish K Aghi
Apr 15, 2014·Journal of Neurosurgery·Jun FanJun Pan
Sep 29, 2011·Clinical Endocrinology·Raluca TrifanescuNiki Karavitaki
Sep 26, 2012·International Journal of Endocrinology·Shou-Sen WangRu-Mi Wang
Jan 7, 2017·The Neuroradiology Journal·Laxminadh SivarajuAlangar S Hegde
Sep 9, 2017·Journal of Neurosurgery. Pediatrics·Takamasa KameiAkio Asai
Oct 24, 2012·Journal of Korean Neurosurgical Society·Ealmaan Kim
Jun 18, 2021·Journal of Neuroendocrinology·Emilia SbardellaUNKNOWN Talent group

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