Enlarging pediatric ectopic Rathke’s cleft cyst in the prepontine cistern: case report

Kamei, Takeshi; Nonaka, Masahiro; Uemura, Yoshiko; Yamanouchi, Yasuo; Komori, Yumiko; Iwata, Ryoichi; Takeda, Jun‐ichi; Hashiba, Tetsuo; Yoshimura, Kunikazu

doi:10.3171/2017.6.peds1727

Cited by 5 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Rathke's cyst at ectopic locations [11][12][13][14][15][16][17][18], other than the sellar suprasellar area, have been reported.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An entirely suprasellar Rathke’s cleft cyst: a rare case report with review of literature

Patankar¹,

Chaudhary

2022

Egypt J Neurosurg

View full text Add to dashboard Cite

Background A Rathke’s cleft cyst is a benign intrasellar cystic lesion, with suprasellar extension reported in a few cases. An entirely suprasellar Rathke’s cleft cyst without any intrasellar component, though previously reported, is rare. Case presentation We report a case of an entirely suprasellar Rathke’s cyst in a 25-year-old female presenting with headache and visual complaints. The patient was treated surgically by drainage of the cyst and removal of the cyst wall by transcranial approach. Histopathology and immunohistochemistry confirmed the diagnosis of Rathke’s cyst. We review the relevant literature and discuss its neuroembryologic pathogenesis, pathology and the factors influencing the recurrence of the cyst. Conclusions To the best of our knowledge, only 62 cases of an entirely suprasellar Rathke’s cyst have been reported till date.

show abstract

“…Rathke's cyst at ectopic locations [11][12][13][14][15][16][17][18], other than the sellar suprasellar area, have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Immunohistochemistry showed positivity for pankeratin (Figs. 13,14) and epithelial membrane antigen (EMA) (Figs. 15,16) supporting the diagnosis of Rathke's cleft cyst.…”

Section: Case Presentationmentioning

confidence: 99%

An entirely suprasellar Rathke’s cleft cyst: a rare case report with review of literature

Patankar¹,

Chaudhary

2022

Egypt J Neurosurg

View full text Add to dashboard Cite

show abstract

“…The long-term outcomes of pituitary cysts are unknown. Cases of enlarging Rathke’s cleft cysts have been reported in children, 23 but a reduction in size has also been described in the context of suspected rupture of the cyst. 24 …”

Section: Discussionmentioning

confidence: 99%

A case of central diabetes insipidus associated with a congenital cyst of the sella turcica in a young cat

Duperrier

Fusellier

Lenaerts

et al. 2020

Journal of Feline Medicine and Surgery Open Reports

View full text Add to dashboard Cite

Case summary A 1-year-old neutered male domestic shorthair cat was presented for polyuria and polydipsia which had progressed since adoption, 7 months previously. On admission, clinical examination did not reveal any remarkable features. Urinalysis showed marked hyposthenuria and calculated plasma osmolality was high, suggesting diabetes insipidus. A positive response to desmopressin administration appeared to confirm pituitary dysfunction. Brain MRI revealed a lesion compatible with a cyst or a neoplasm compressing the pituitary gland. A follow-up MRI performed 9 months later showed that the lesion was stable, which at first argued in favour of a congenital pituitary cyst. Intranasal administration of desmopressin was then used to achieve a long-term clinical response. Relevance and novel information Central diabetes insipidus (CDI) is a rare cause of polyuria and polydipsia in cats, resulting from inadequate or impaired secretion of antidiuretic hormone from the posterior pituitary gland. Recognised causes include head trauma, central nervous system (CNS) neoplasia, idiopathic CDI and congenital pituitary cysts. Apart from one cat with CNS lymphoma, the few previously reported feline cases have described CDI in young cats with a previous history of trauma, but brain imaging has rarely been performed to look for underlying anatomical abnormalities. This report describes the first case of CDI in a cat with a confirmed congenital pituitary cyst and, as in previous cases, demonstrates successful treatment with desmopressin.

show abstract

“…Algunos autores describen recidivas del 16% a 18% en pacientes posquirúrgicos, sugiriendo el manejo conservador posterior, como opción en quistes recurrentes de gran tamaño se ha planteado la radioterapia, se utiliza para tratar a pacientes con enfermedad residual después de una resección quirúrgica parcial o que ha recurrido después de lo que inicialmente se pensó que era una resección total macroscópica (Bobeff et al, 2019) (Kamei et al, 2017).…”

Section: Paciente Con Quiste De Rathke…unclassified

Paciente con quiste de Rathke, reporte de caso

2022

Ciencia Latina

View full text Add to dashboard Cite

El quiste de la bolsa de Rathke es una lesión derivada de los restos epiteliales del ectodermo que se asienta sobre la región selar, afecta principalmente a los jóvenes, asintomático en la mayoría de los casos, sobre todo en la población pediátrica, en los adultos el síntoma principal es la cefalea frontal teniendo en casos más graves síntomas relacionados con la compresión de estructuras vecinas como disfunciones visuales y alteración del eje hipotálamo/hipófisis. El siguiente caso clínico, es una paciente femenina de 62 años que refiere cuadros de cefaleas frontales asociados a estados de estrés, presenta exacerbación de los síntomas sin mejoría con tratamiento habitual, en la tomografía se observa lesión quística a nivel de silla turca que desplaza la neurohipófisis en sentido posterior. A la paciente se inicia terapia analgésica con amitriptilina logrado alivio de la sintomatología y se decide conducta expectante.

show abstract

Enlarging pediatric ectopic Rathke’s cleft cyst in the prepontine cistern: case report

Cited by 5 publications

References 17 publications

An entirely suprasellar Rathke’s cleft cyst: a rare case report with review of literature

An entirely suprasellar Rathke’s cleft cyst: a rare case report with review of literature

A case of central diabetes insipidus associated with a congenital cyst of the sella turcica in a young cat

Paciente con quiste de Rathke, reporte de caso

Contact Info

Product

Resources

About