The long-term recurrence of Rathke's cleft cysts as predicted by histology but not by surgical procedure

Journal of Neurosurgery
Yasuyuki KinoshitaKaoru Kurisu

Abstract

OBJECTIVE Patients with symptomatic Rathke's cleft cysts (RCCs) managed by surgical treatment often experience recurrence. The authors attempted to clarify the outcome of surgically treated RCCs over a long-term follow-up period. METHODS Ninety-one consecutive RCC patients with a follow-up period of more than 12 months (mean 80.2 months, range 12-297 months) were retrospectively studied. The authors examined the clinical features and postoperative course of patients who experienced a reaccumulation of cyst contents visible on MRI after the initial surgery, and they investigated data from the patients who underwent reoperation for symptomatic recurrent RCCs. RESULTS Reaccumulation of cyst contents occurred in 36 patients (39.6%). In 34 of these patients, a reaccumulation occurred in the first 5 years after surgery. The initial cysts in these patients were most often large, with squamous metaplasia in the cyst walls. Thirteen patients (14.3%) with recurrent symptoms underwent a reoperation, and 10 of the 13 patients had a reaccumulation of RCCs within the 1st year after surgery. The reoperations were performed in the 1st year (61.5%) or several years later (23.1%). Patients were likely to initially have had a visual disturbance a...Continue Reading

References

Feb 13, 2002·Journal of Neurosurgery·Seiji HamaKaoru Kurisu
Jul 31, 2003·European Journal of Endocrinology·Naoko SannoYuzuru Kato
Oct 16, 2004·Journal of Neurosurgery·Ronald J BenvenisteKalmon D Post
Mar 3, 2005·Journal of Neurosurgery·Christopher J AhoMartin H Weiss
Apr 20, 2011·European Journal of Endocrinology·R TrifanescuN Karavitaki
Jun 16, 2011·Neurosurgery·Matthew B PottsManish K Aghi
Jul 5, 2011·Neurosurgical Focus·Gabriel Zada
Jul 5, 2011·Neurosurgical Focus·Dominique M HigginsFredric B Meyer
Sep 29, 2011·Clinical Endocrinology·Raluca TrifanescuNiki Karavitaki
Feb 18, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Weiying ZhongBowen Cai
Oct 23, 2013·Journal of Neuro-oncology·Seunggu J HanManish K Aghi
Nov 26, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Zachary S MendelsonJames K Liu

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Citations

Feb 6, 2019·Journal of Neurosurgery·James L WestStephen B Tatter
Dec 3, 2020·British Journal of Neurosurgery·Ivan CabriloNeil L Dorward
Jun 14, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Tobias HallénThomas Skoglund

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