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Rathke's cleft cyst with pituitary apoplexy: case report
Authors:H Nishioka  H Ito  T Miki  T Hashimoto  H Nojima  H Matsumura
Institution:(1) Department of Neurosurgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan Tel.: + 81-3-33 42 61 11 ext. 57 73 Fax: + 81-3-33 40 42 85, JP
Abstract:We report a Rathke's cleft cyst which presented as pituitary apoplexy, a rare presentation. A 46-year-old woman suffered sudden headache and visual loss. T1-weighted MRI 3 weeks after this apoplectic episode demonstrated a cystic lesion between the anterior and posterior lobes of the pituitary, with some high-signal material layering in it. The mass showed spontaneous regression on an image 3 weeks later. Trans-sphenoidal surgery confirmed the diagnosis of a Rathke's cleft cyst with a haematoma within it. Received: 30 September 1998 Accepted: 5 February 1999
Keywords:Pituitary tumor  Cyst Rathke's cleft  Pituitary apoplexy  Magnetic resonance imaging
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