Rathke's cleft cyst apoplexy in a boy treated by endoscopic endonasal surgery: case report and literature review

被引:0
作者
Guan, Hongpeng [1 ]
Zhang, Ying [1 ,2 ]
Wang, Xuhui [1 ,3 ]
机构
[1] Shanghai Jiao Tong Univ, XinHua Hosp, Sch Med, Dept Neurosurg, Shanghai, Peoples R China
[2] Shanghai Jiao Tong Univ, Dept Pathol, Sch Med, Xinhua Hosp, Shanghai, Peoples R China
[3] Shanghai Univ Med & Hlth Sci, Dept Neurosurg, Chongming Hosp, Shanghai, Peoples R China
关键词
Rathke's cleft cyst apoplexy; Sellar; Pituitary adenoma; Pediatric; Endoscopy; PITUITARY APOPLEXY; MANAGEMENT; FEATURES; CHILDREN;
D O I
10.1016/j.neuchi.2024.101540
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Rathke's cleft cyst (RCC) apoplexy is an uncommon lesion attributed to abnormal vascular supply to the fragile RCC epithelial wall. It is rare in children and very difficult to diagnose without pathologic confirmation. Here, we report an 8 -year -old boy who presented with headache and visual deficit. MRI and CT showed a cystic mass in the sellar region. He underwent endoscopic endonasal surgery, and the cystic mass was resected completely via a trans -sphenoidal approach. The lesion was confirmed as RCC apoplexy by intraoperative observation and histopathological examination. Headache was completely relieved and the visual field deficit improved remarkably after the operation. The authors recommend surgical management for pediatric RCC apoplexy patients who present with severe neuro-ophthalmic signs or deterioration of consciousness, although there are at present no standardized management guidelines for pediatric RCC apoplexy.
引用
收藏
页数:4
相关论文
共 50 条
  • [21] Rathke's cleft cyst presentation mimicking craniopharyngioma: Case report
    Farrash, Faisal A.
    Hassounah, Maher
    Helmi, Hala A.
    Othman, Eyas
    Alotaibi, Naif H.
    INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2020, 68 : 104 - 106
  • [22] Intrasphenoidal Rathke cleft cyst: A rare case report
    Gowtham, Mahadevan S.
    Sunilkumar, Devaraj
    Ramesh, Andi S.
    Srinivas, Bheemanathi H.
    Verma, Dinesh
    Nagarajan, Krishnan
    JOURNAL OF PEDIATRIC NEUROSCIENCES, 2021, 16 (04) : 350 - 353
  • [23] Expanded Endonasal Endoscopic Approach for Suprasellar Rathke Cleft Cyst: Treatment Outcome and Surgical Nuances
    Jin, Lu
    Cao, Lei
    Zhu, Haibo
    Li, Chuzhong
    Liu, Chunhui
    Zhao, Peng
    Bai, Jiwei
    Zhang, Yazhuo
    Gui, Songbai
    WORLD NEUROSURGERY, 2022, 167 : E146 - E156
  • [24] Pituitary apoplexy following coronary bypass surgery: A case report and literature review
    Semenov, A.
    Denoix, E.
    Thiebaut, M.
    Michon, A.
    Pouchot, J.
    REVUE DE MEDECINE INTERNE, 2020, 41 (12): : 852 - 857
  • [25] A case of Rathke's cleft cyst in association with a ruptured aneurysm of the anterior cerebral artery mimicking pituitary apoplexy
    Sakamoto, S
    Ikawa, F
    Kawamoto, H
    Ohbayashi, N
    Sakoda, E
    Hidaka, T
    Inagawa, T
    NEUROLOGICAL SURGERY, 2002, 30 (02): : 199 - 203
  • [26] Pituitary apoplexy after surgery for cervical stump adenocarcinoma: A case report and literature review
    Yu, Xiaodan
    Shi, Chen
    Jiang, Lili
    Liu, Kuiran
    ONCOLOGY LETTERS, 2024, 28 (03)
  • [27] Rathke cleft cyst masquerading as pituitary abscess A case report
    Yang, Chengxian
    Bao, Xinjie
    Liu, Xiaohai
    Deng, Kan
    Feng, Ming
    Yao, Yong
    Wang, Renzhi
    MEDICINE, 2017, 96 (10)
  • [28] The treatment and follow-up for pituitary adenoma and concomitant rathke cleft cyst: a cases report and review of the literature
    Wu, Zhifeng
    Wang, Shousen
    INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, 2016, 9 (02): : 5045 - 5049
  • [29] Pituitary abscess following endoscopic endonasal drainage of a suprasellar arachnoid cyst: Case report and review of the literature
    Ovenden, Christopher Dillon
    Almeida, Joao Paulo
    Oswari, Selfy
    Gentili, Fred
    JOURNAL OF CLINICAL NEUROSCIENCE, 2019, 68 : 322 - 328
  • [30] Enlarging pediatric ectopic Rathke's cleft cyst in the prepontine cistern: case report
    Kamei, Takamasa
    Nonaka, Masahiro
    Uemura, Yoshiko
    Yamanouchi, Yasuo
    Komori, Yumiko
    Iwata, Ryoichi
    Takeda, Junichi
    Hashiba, Tetsuo
    Yoshimura, Kunikazu
    Asai, Akio
    JOURNAL OF NEUROSURGERY-PEDIATRICS, 2017, 20 (05) : 480 - 484