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http://dx.doi.org/10.3340/jkns.2012.52.4.404

A Rathke's Cleft Cyst Presenting with Apoplexy  

Kim, Ealmaan (Department of Neurosurgery, Keimyung University School of Medicine, Dongsan Medical Center)
Publication Information
Journal of Korean Neurosurgical Society / v.52, no.4, 2012 , pp. 404-406 More about this Journal
Abstract
The occurrence of symptomatic pituitary hemorrhage into a Rathke's cleft cyst (RCC) is extremely rare. The author reports an interesting case of intra- and suprasellar RCC presented with features of pituitary apoplexy. This 62-year-old woman suffered acute headache, mental confusion, and partial hypopituitarism. The characteristics of the magnetic resonance imaging seemed most compatible with a hemorrhagic pituitary adenoma. Transsphenoidal drainage of the cyst contents confirmed the diagnosis of hemorrhagic RCC and resolved the symptoms. All published data on this rare clinical entity are extracted and reviewed.
Keywords
Headache; Hypopituitarism; Pituitary apoplexy; Rathke's cleft cyst; Transsphenoidal approach;
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