A case of Rathke's cleft cyst with apoplexy

We report a case of Rathke's cleft cyst associated with cholesterin granuloma in an 8-year-old girl with apoplexy. She was admitted to our hospital in April 1996 because of repeated headache and deep ophthalmic pain, without any visual disturbance. Computed tomography (CT) of the pituitary demo...

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Bibliographic Details
Published in:Child's nervous system 1998-07, Vol.14 (7), p.343-347
Main Authors: KURISAKA, M, FUKUI, N, SAKAMOTO, T, MORI, K, OKADA, T, SOGABE, K
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cerebrovascular Disorders - etiology
Cerebrovascular Disorders - surgery
Child
Cholesterol - metabolism
Craniopharyngioma - complications
Craniopharyngioma - pathology
Craniopharyngioma - surgery
Endocrinopathies
Female
Granuloma - complications
Granuloma - metabolism
Granuloma - pathology
Granuloma - surgery
Humans
Hypothalamus. Hypophysis. Epiphysis (diseases)
Magnetic Resonance Imaging
Medical sciences
Non tumoral diseases. Target tissue resistance. Benign neoplasms
Pituitary Neoplasms - complications
Pituitary Neoplasms - pathology
Pituitary Neoplasms - surgery
Tomography, X-Ray Computed
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Summary:We report a case of Rathke's cleft cyst associated with cholesterin granuloma in an 8-year-old girl with apoplexy. She was admitted to our hospital in April 1996 because of repeated headache and deep ophthalmic pain, without any visual disturbance. Computed tomography (CT) of the pituitary demonstrated an intrasellar isodense mass extending to the suprasellar cistern. Magnetic resonance imaging (MRI) showed a high-intensity mass on both T1- and T2-weighted images. The preoperative diagnosis of this lesion was Rathke's cleft cyst associated with a craniopharyngioma and/or hemorrhage. Transsphenoidal microsurgery was performed, and a bloody coffee-like serous and mucinous-yellowish substance was evacuated. Curettage of the wall removed the yellowish hard mass and soft membranous tissue. Histological examination of this tumor revealed a Rathke's cleft cyst with cholesterin granuloma.
ISSN:0256-7040
1433-0350
DOI:10.1007/s003810050240