Endoscopic endonasal removal of an intra-suprasellar Rathke's cleft cyst: case report and surgical considerations

Minimally Invasive Neurosurgery : MIN
A AlfieriL Monolo

Abstract

An endoscopic endonasal approach was performed to remove an intra-suprasellar Rathke's cleft cyst. Rathke's cleft cyst are benign lesions, rarely diagnosed because they are often asymptomatic. To the best of our knowledge, at least 475 cases of Rathke's cleft cysts have been reported. They seem to arise from remnants of Rathke's pouch, an invagination of the stomodeum. A 52-year-old woman, complaining of bilateral frontal headaches, was operated on by using an endoscopic endonasal approach, for an intra-suprasellar tumor. The pre-operative diagnosis was non-functioning pituitary adenoma. Intra-operatively a creamy-coloured viscous tissue was found. After the removal of the cyst contents and of the capsule, the suprasellar structures were seen well. The chiasmatic cistern, the chiasm, the pituitary stalk and the pituitary gland were visualized with 0 and 30 degree endoscopes. The pathological findings showed a well-differentiated cuboidal epithelium. The diagnosis was Rathke's cleft cyst. No post-operative complications were observed. The endoscopic technique was particularly suitable in this case, both for the Rathke's cleft features and for an excellent outcome. The Rathke's cleft cyst was easily removed by suction and the cys...Continue Reading

Citations

Oct 9, 2007·Neurosurgical Review·Luigi M CavalloPaolo Cappabianca
Nov 26, 2009·Journal of Neurosurgery·Ricky MadhokAmin B Kassam
Apr 14, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·M KoutourousiouA Seretis
Dec 7, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Arman JahangiriManish K Aghi
Oct 17, 2015·PloS One·Domenico SolariPaolo Cappabianca
Jun 3, 2009·Neurosurgery·Gabriel ZadaMark D Krieger
Dec 25, 2004·Neurosurgery·Giorgio FrankErnesto Pasquini
Nov 5, 2003·Arquivos de neuro-psiquiatria·Jackson GondimOswaldo I Tella

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