The Empty Sella syndrome secondary to Rathke's cleft cyst

1980 ◽  
Vol 53 (1-2) ◽  
pp. 69-78 ◽  
Author(s):  
M. Baldini ◽  
L. Mosca ◽  
L. Princi
Keyword(s):  
Empty Sella ◽  
Rathke’S Cleft Cyst ◽  
Rathke's Cleft Cyst ◽  
Empty Sella Syndrome ◽  
Rathke's Cleft

Reversible visual deficit following debulking of a Rathke's cleft cyst: a tethered chiasm?

1994 ◽  
Vol 81 (3) ◽  
pp. 459-462 ◽  
Author(s):  
Edwin G. Fischer ◽  
Umberto DeGirolami ◽  
James N. Suojanen
Keyword(s):  
Sella Turcica ◽  
Magnetic Resonance Images ◽  
Empty Sella ◽  
Anatomical Location ◽  
Rathke’S Cleft Cyst ◽  
Optic System ◽  
Rathke's Cleft Cyst ◽  
Anterior Portion ◽  
Content Type ◽  
Rathke's Cleft

✓ Delayed chiasmal syndromes after emptying of a Rathke's cleft cyst have not been reported previously. When these deficits occur following the treatment of parasellar lesions they are usually associated with the descent of a scarred optic system into an empty sella, and vision often improves promptly when the optic system is elevated. Two months after transsphenoidal surgery with emptying of a large intrasellar cyst, a 22-year-old man developed recurrent bitemporal visual field deficits over a 3-day period. Sagittal magnetic resonance images demonstrated an enhancing band of tissue extending anteriorly from the normally placed chiasm down to the anterior portion of the sella turcica. At craniotomy the enhancing tissue was found to be scar extending from the anterior border of the chiasm to the diaphragma sellae. The anterior portion of the diaphragm was resected as widely as possible without dissecting the scar itself from the chiasm. A membrane consistent with the wall of a Rathke's cleft cyst was found attached to the resected tissue. The patient's vision was improved 2 days after surgery. This case illustrates that traction by scar extending from the chiasm to the diaphragm, even when the chiasm is in its normal anatomical location, may cause progressive visual loss; and that untethering of the chiasm by resecting the diaphragm while leaving the scar intact can result in improved vision.

Rathke's cleft cyst mimiking pituitary apoplexy: a case report

2018 ◽  
Author(s):  
Ines Barka ◽  
Faiza Bensmaine ◽  
Moctar Bah ◽  
Clara Bouche ◽  
Jean Francois Gautier
Keyword(s):  
Case Report ◽  
Pituitary Apoplexy ◽  
Rathke’S Cleft Cyst ◽  
Rathke's Cleft Cyst ◽  
Rathke's Cleft

Rathke’s cleft cyst infections and pituitary abscesses: case series and review of the literature

Pituitary ◽  
2021 ◽  
Author(s):  
F. Aranda ◽  
R. García ◽  
F. J. Guarda ◽  
F. Nilo ◽  
J. P. Cruz ◽  
...  
Keyword(s):  
Case Series ◽  
Rathke’S Cleft Cyst ◽  
Review Of The Literature ◽  
Rathke's Cleft Cyst ◽  
Rathke's Cleft

Relationship between Recurrence Rates of Rathke's Cleft Cysts and Surgical Approaches to Sellar Reconstruction

2020 ◽  
Author(s):  
Rebecca Limb ◽  
James King
Keyword(s):  
Recurrence Rate ◽  
Case Series ◽  
Redo Surgery ◽  
Rathke’S Cleft Cyst ◽  
Recurrence Rates ◽  
Rathke's Cleft Cyst ◽  
Study Objective ◽  
Cyst Recurrence ◽  
Rathke's Cleft ◽  
Sellar Floor

Abstract Study Objective The main purpose of this article is to address the question of whether reconstructing the sellar floor following Rathke's cleft cyst excision results in increased rates of recurrence. Methods and Design A retrospective case series was compiled from medical records and radiological investigations at a single institution over a time period spanning 25 years. Episodes of cyst recurrence were determined from magnetic resonance imaging scans and outpatient encounters. Details regarding surgical procedure and techniques were obtained from operation notes. Perioperative morbidity was also recorded. Results Twenty-three adult patients were treated surgically for a Rathke's cleft cyst at the study institution between 1992 and 2017. The overall cyst recurrence rate was 48%, with 39% of all patients requiring redo surgery within the timeframe of the study. The mean time to redo surgery for recurrence was 4 years. Cyst recurrence rates were 57% postmicroscopic procedures, and 26% postendoscopic procedures (p = 0.148). In the nonreconstructed group, the recurrence rate was 17%, and in the reconstructed group the recurrence rate was 41% (p = 0.3792). Complications arising after nonreconstructive procedures were delayed cerebrospinal fluid rhinorrhea, pneumocephaly, and multiple episodes of meningitis. All these patients required return to theater for secondary reconstruction of the pituitary fossa floor. Conclusion The results of this small study suggest that reconstruction of the sellar floor, and microscopic rather than endoscopic techniques, may be associated with a higher rate of Rathke's cleft cyst recurrence. However, these trends did not reach statistical significance. Patients undergoing nonreconstructive procedures may be more prone to certain postoperative complications.

MRI Findings and Clinical Manifestations in Rathke's Cleft Cyst

1999 ◽  
Vol 141 (10) ◽  
pp. 1055-1061 ◽  
Author(s):  
N. Saeki ◽  
K. Sunami ◽  
Y. Sugaya ◽  
A. Yamaura
Keyword(s):  
Clinical Manifestations ◽  
Rathke’S Cleft Cyst ◽  
Mri Findings ◽  
Rathke's Cleft Cyst ◽  
Rathke's Cleft

Rathke's Cleft Cyst

1996 ◽  
Vol 37 (3P2) ◽  
pp. 596-598 ◽  
Author(s):  
K. Skjødt ◽  
A. Loft Edal ◽  
H. J. Nepper-Rasmussen
Keyword(s):  
Cyst Wall ◽  
Rathke’S Cleft Cyst ◽  
Cell Debris ◽  
Rathke's Cleft Cyst ◽  
Rathke's Cleft ◽  
Fast Field

Two patients with Rathke's cleft cyst with uncommon MR signals, hyperintensity on T1-weighted, and hypointensity on T2-weighted 3-D fast field echo (FFE) imaging are reported. We suggest that this is due to high content of cholesterol or mucopolysaccharide, possibly combined with cell debris from the cyst wall.

scholarly journals Giant Sellar Xanthogranuloma after Surgical Treatment of Symptomatic Rathke's Cleft Cyst

2018 ◽  
Vol 6 (2) ◽  
pp. 82 ◽  
Author(s):  
Sung-Min Cho ◽  
Hyok-Rae Cho ◽  
Yong-Seok Park ◽  
Hee-Gyeong Chang
Keyword(s):  
Surgical Treatment ◽  
Rathke’S Cleft Cyst ◽  
Rathke's Cleft Cyst ◽  
Rathke's Cleft
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