Clinical features, management and recurrence of symptomatic Rathke's cleft cyst

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Daniel M S Raper, Michael Besser

Abstract

Rathke's cleft cyst (RCC) is a rare lesion of the pituitary gland that is often asymptomatic. The objective of this study was to further characterise the presenting symptoms, endocrinopathy and potential for recurrence of this lesion in an Australian population. The files of 12 patients with pathologically confirmed RCCs were reviewed retrospectively. Common presentations included headache, endocrinopathy, and visual disturbance. Uncommon presentations included 1 patient with pituitary apoplexy. The cysts varied in size from 6 mm to 20 mm; 8 had a suprasellar component. 1 patient had evidence of a RCC with xanthogranulomatous change. RCC recurrence was noted on follow-up MRI in 5 patients. In conclusion, RCCs are rare lesions that can present with an array of clinical symptoms. The relatively high rate of recurrence may indicate a link between this pathology and craniopharyngioma, although many patients with recurrent RCC do not require repeat resection and remain asymptomatic.

References

Oct 1, 1990·Neurosurgery·S T OnestiK D Post
Jul 1, 1995·Surgical Neurology·B K Kleinschmidt-DeMastersJ C Stears
Oct 1, 1994·Neurosurgery·H OkaT Kameya
Feb 1, 1994·Clinical Radiology·G T RottenbergB E Kendall
Jan 1, 1993·Neuroradiology·A M WhyteB P Brophy
Jul 1, 1997·The Journal of Clinical Endocrinology and Metabolism·J J MukherjeeA B Grossman
Jun 18, 1998·The American Journal of Surgical Pathology·R D FolkerthU De Girolami
Dec 22, 1999·Neuroradiology·H NishiokaH Matsumura
Jun 7, 2003·Neurologia Medico-chirurgica·Kazuki YonezawaEiji Kohmura
Oct 16, 2004·Journal of Neurosurgery·Edward R Laws, Adam S Kanter
Oct 16, 2004·Journal of Neurosurgery·Ronald J BenvenisteKalmon D Post
Feb 1, 2005·Endocrine Pathology·Shunichi YokoyamaKazuhiro Kusumoto
Mar 3, 2005·Journal of Neurosurgery·Christopher J AhoMartin H Weiss
May 17, 2006·Pituitary·Ronald J BenvenisteHang Byun
Jan 5, 2008·Journal of Neurosurgery·Mandy J BinningWilliam T Couldwell

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Citations

Jul 2, 2009·Der Radiologe·W Reith
Aug 19, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Liangxue ZhouChao You
Jun 1, 2010·Journal of Neurosurgery·Joumana T ChaibanBaha M Arafah
Sep 24, 2013·Journal of Neurosurgery·Jun FanJun Pan
May 11, 2012·Surgical Neurology International·Stephan A Munich, Jody Leonardo
Nov 26, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Zachary S MendelsonJames K Liu
Oct 23, 2013·Journal of Neuro-oncology·Seunggu J HanManish K Aghi
Feb 27, 2015·Pituitary·Brian T O'NeillJohanna A Pallotta
Feb 18, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Weiying ZhongBowen Cai
Sep 29, 2011·Clinical Endocrinology·Raluca TrifanescuNiki Karavitaki
Sep 26, 2012·International Journal of Endocrinology·Shou-Sen WangRu-Mi Wang
Apr 3, 2012·British Journal of Neurosurgery·Xin YuSong Liu
Mar 27, 2015·Case Reports in Neurological Medicine·Yu-Ichiro OhnishiToshiki Yoshimine
Dec 7, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Arman JahangiriManish K Aghi
Apr 13, 2015·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Hae Ri YumShin Hae Park
Oct 7, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Zachary S MendelsonJames K Liu
May 22, 2018·Clinical Endocrinology·Elisa SalaLaurence Katznelson
Dec 31, 2010·Korean journal of pediatrics·Han Hyuk Lim, Sei Won Yang
Oct 13, 2017·Annals of Pediatric Endocrinology & Metabolism·Jo Eun JungHo-Seong Kim
Jun 14, 2014·Annals of Pediatric Endocrinology & Metabolism·Yeon Joung OhIl Tae Hwang
Apr 5, 2014·Headache·Sarah Nelson, Lynne P Taylor
Jun 16, 2011·Neurosurgery·Matthew B PottsManish K Aghi
Sep 10, 2020·Surgical Neurology International·Annelise SprauHarminder Singh
Jun 25, 2020·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Avivit BrenerYael Lebenthal
Jan 21, 2021·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Avivit BrenerYael Lebenthal
Jul 27, 2021·Journal of Neurological Surgery. Part B, Skull Base·Rebecca Limb, James King

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