Natural history of Rathke's cleft cysts: A retrospective analysis of a two centres experience

2018 ◽  
Vol 89 (2) ◽  
pp. 178-186 ◽  
Author(s):  
Elisa Sala ◽  
Justin M. Moore ◽  
Alvaro Amorin ◽  
Giulia Carosi ◽  
Hector Martinez ◽  
...  
Author(s):  
Elisa Sala ◽  
Justin M Moore ◽  
Alvaro Amorin ◽  
Giulia Carosi ◽  
Griffith R Harsh ◽  
...  

2014 ◽  
Vol 121 (4) ◽  
pp. 846-850 ◽  
Author(s):  
Jun Fan ◽  
Songtao Qi ◽  
Yuping Peng ◽  
Xi-an Zhang ◽  
Binghui Qiu ◽  
...  

Rathke's cleft cysts (RCCs) are benign cysts typically located in the sellar or suprasellar region; ectopic isolated lesions are extremely rare. The authors describe the case of a 25-year-old man with a giant symptomatic RCC arising primarily at the cerebellopontine angle (CPA), only the second case reported thus far. The patient presented with a 2-year history of right hearing impairment and tinnitus accompanied by vertigo and headache and a 2-week history of right facial numbness. Subsequently, he underwent total cyst removal via retrosigmoid craniotomy with a good recovery. He experienced no recurrence during a 64-month follow-up period. The possible pathogenesis, differential diagnosis, and surgical treatment of such cysts are discussed in this article. Isolated ectopic RCCs can arise from the ectopic migration of Rathke's pouch cells during the embryonic period. It is still difficult to distinguish ectopic RCCs from other cystic lesions of the CPA given the lack of specific imaging features. Aggressive resection of the cyst wall is not recommended, except when lesions do not closely adhere to adjacent structures.


2011 ◽  
Vol 44 (5) ◽  
pp. 541-548 ◽  
Author(s):  
Takanori Kyokane ◽  
Hiroaki Shibahara ◽  
Junichi Takamizawa ◽  
Hayato Nakamura ◽  
Shingo Kuze ◽  
...  

Author(s):  
Matthew Carey ◽  
William Fuell ◽  
Thomas Harkey ◽  
Gregory W. Albert

2019 ◽  
Vol 156 (6) ◽  
pp. S-289-S-290
Author(s):  
Mohamed Hussein ◽  
Vinay Sehgal ◽  
Cormac Magee ◽  
Sarmed S. Sami ◽  
Matthew Banks ◽  
...  

2013 ◽  
Vol 85 (3) ◽  
pp. 289-294 ◽  
Author(s):  
J. S. Jeon ◽  
J. H. Ahn ◽  
W. Huh ◽  
Y.-J. Son ◽  
J. S. Bang ◽  
...  

Seizure ◽  
2020 ◽  
Vol 80 ◽  
pp. 109-112 ◽  
Author(s):  
Neishay Ayub ◽  
Sharon Chiang ◽  
Robert Moss ◽  
Daniel Goldenholz

2018 ◽  
Author(s):  
Sergios Gargalas ◽  
Lia Anguelova ◽  
Christine May ◽  
Jane Halliday ◽  
Simon Cudlip ◽  
...  

2018 ◽  
Vol 07 (03) ◽  
pp. 196-208
Author(s):  
Manish Jaiswal ◽  
Amit Patil ◽  
Radhey Mittal

Abstract Introduction: Chiari malformation type I is a collection of hindbrain abnormalities, for which natural history of the disease process is not clear. The challenge is to identify which patients will benefit most from posterior fossa decompression. Objectives: To identify important surgical implications that most likely benefit patients with Chiari malformation type I by analyzing and reviewing various operative interventions in these patients with appropriate symptoms and then following their course. Subjects & Methods: Retrospective analysis of 74 operated Chiari malformation type I with syrinx adult patients was done. Results: No definite pattern of progression in natural history of disease was noted. Most of the patients who were symptomatically stable for months to years presented with recent rapid progression. The most common symptom was suboccipital pain. The most common finding was lower extremity weakness. On clinical presentation basis, patients were divided into three categories: foramen magnum compression syndrome, central cord syndrome, and cerebellar syndrome. Most patients in our study fall in first category. Foramen magnum decompression with atlas posterior arch removal and sometimes partial C2 laminectomy depending on extent of tonsillar descent as well as augmentation duraplasty was done in most patients. Improvement was seen in foramen magnum compression syndrome group more significantly. Conclusions: Individualized surgical techniques for breaking the barriers of cerebrospinal fluid (CSF) flow in Chiari malformation type I with syrinx to restore normal CSF dynamics across craniocervical junction provide the pragmatic solution. The trend is toward balance between optimum wide decompression as compared with long craniocaudal decompression and preserving normal integrity.


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