Spontaneous Rupture, Disappearance, and Reaccumulation of a Rathke's Cleft Cyst
Rathke's cleft cysts (RCCs) are benign epithelium-lined intrasellar cysts containing mucoid material and are believed to originate from the remnants of Rathke's pouch. Most are asymptomatic but may cause symptoms secondary to compression of adjacent structures such as visual disturbances...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2011/549262 |
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| author | Katrina Maniec Joe C. Watson |
| author_facet | Katrina Maniec Joe C. Watson |
| author_sort | Katrina Maniec |
| collection | DOAJ |
| description | Rathke's cleft cysts (RCCs) are benign epithelium-lined intrasellar cysts containing mucoid material and are believed to originate from the remnants of Rathke's pouch. Most are asymptomatic but may cause symptoms secondary to compression of adjacent structures such as visual disturbances and endocrinopathies, especially hypopituitary. Furthermore, inflammation such as an aseptic meningitis syndrome may be associated with these tumors, presumably resulting from leakage of cyst material into the subarachnoid space. We present a unique case of spontaneous rupture and complete disappearance of a known sella-suprasellar cyst associated with a severe headache syndrome, followed by cyst reaccumulation requiring surgery. Although this phenomenon is well accepted, to our knowledge, this is the first report of the complete disappearance of a Rathke's cyst presenting with the classic syndrome. Furthermore, it was remarkable how quickly it recurred and became symptomatic, providing evidence that an “empty sella syndrome” may indeed need clinical follow-up. |
| format | Article |
| id | doaj-art-1c535d209eda41f7a2d840d2f8d295ff |
| institution | Kabale University |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-1c535d209eda41f7a2d840d2f8d295ff2025-08-20T03:54:51ZengWileyCase Reports in Endocrinology2090-65012090-651X2011-01-01201110.1155/2011/549262549262Spontaneous Rupture, Disappearance, and Reaccumulation of a Rathke's Cleft CystKatrina Maniec0Joe C. Watson1Inova Regional Neurosurgery Service and Department of Neurosurgery, Virginia Commonwealth University School of Medicine, Inova Campus, 3300 Gallows Road, Falls Church, VA 22042, USAInova Regional Neurosurgery Service and Department of Neurosurgery, Virginia Commonwealth University School of Medicine, Inova Campus, 3300 Gallows Road, Falls Church, VA 22042, USARathke's cleft cysts (RCCs) are benign epithelium-lined intrasellar cysts containing mucoid material and are believed to originate from the remnants of Rathke's pouch. Most are asymptomatic but may cause symptoms secondary to compression of adjacent structures such as visual disturbances and endocrinopathies, especially hypopituitary. Furthermore, inflammation such as an aseptic meningitis syndrome may be associated with these tumors, presumably resulting from leakage of cyst material into the subarachnoid space. We present a unique case of spontaneous rupture and complete disappearance of a known sella-suprasellar cyst associated with a severe headache syndrome, followed by cyst reaccumulation requiring surgery. Although this phenomenon is well accepted, to our knowledge, this is the first report of the complete disappearance of a Rathke's cyst presenting with the classic syndrome. Furthermore, it was remarkable how quickly it recurred and became symptomatic, providing evidence that an “empty sella syndrome” may indeed need clinical follow-up.http://dx.doi.org/10.1155/2011/549262 |
| spellingShingle | Katrina Maniec Joe C. Watson Spontaneous Rupture, Disappearance, and Reaccumulation of a Rathke's Cleft Cyst Case Reports in Endocrinology |
| title | Spontaneous Rupture, Disappearance, and Reaccumulation of a Rathke's Cleft Cyst |
| title_full | Spontaneous Rupture, Disappearance, and Reaccumulation of a Rathke's Cleft Cyst |
| title_fullStr | Spontaneous Rupture, Disappearance, and Reaccumulation of a Rathke's Cleft Cyst |
| title_full_unstemmed | Spontaneous Rupture, Disappearance, and Reaccumulation of a Rathke's Cleft Cyst |
| title_short | Spontaneous Rupture, Disappearance, and Reaccumulation of a Rathke's Cleft Cyst |
| title_sort | spontaneous rupture disappearance and reaccumulation of a rathke s cleft cyst |
| url | http://dx.doi.org/10.1155/2011/549262 |
| work_keys_str_mv | AT katrinamaniec spontaneousrupturedisappearanceandreaccumulationofarathkescleftcyst AT joecwatson spontaneousrupturedisappearanceandreaccumulationofarathkescleftcyst |