Acute, monocular vision loss from Rathke's cleft cyst

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Bradley N BohnstedtDaniel H Fulkerson

Abstract

Rathke's cleft cysts are benign, non-neoplastic sellar lesions that are often asymptomatic. The rare patient with symptoms may present with pituitary dysfunction, headache, or visual problems. Visual deficits are generally consistent with a chiasmal syndrome as associated with other sellar lesions. Therefore, the most commonly described deficit is bitemporal hemianopsia. We describe a 16-year-old female patient who presented with rare, rapidly progressing monocular blindness without signs of apoplexy or hemorrhage. She had complete return of vision after surgical decompression. The rapid loss and recovery of vision suggest that ischemic factors, rather than deformation of the optic apparatus, contributed to her symptoms. The relevant literature is reviewed.

References

Sep 1, 1969·Journal of Neurosurgery·R Bergland
Jul 1, 1995·Surgical Neurology·B K Kleinschmidt-DeMastersJ C Stears
Jul 31, 2003·European Journal of Endocrinology·Naoko SannoYuzuru Kato
Mar 3, 2005·Journal of Neurosurgery·Christopher J AhoMartin H Weiss

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Citations

Jul 22, 2014·Case Reports in Ophthalmological Medicine·Namie KobayashiEmiko Adachi-Usami
Sep 8, 2019·Documenta Ophthalmologica. Advances in Ophthalmology·Chiung Fang Chang, Yen Ming Chen
Oct 28, 2015·Postgraduate Medical Journal·R SawayaR Hamam

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