Management of Rathke’s Cleft Cysts: About Three Observations
Author(s)
Bouali Sofiene1*,
Badri Mohamed2,
Boubaker Adnene1,
Ben Said Imed1,
Bouhoula Asma1,
Zemmel Ihsen2,
Jemel Hafedh1
Affiliation(s)
1 Department of Neurosurgery, National Institute of Neurology Mongi Ben Hmida, Tunis, Tunisia. 2 Department of Neurosurgery CTGB, Ben Arous, Faculty of Medicine, University OF Tunis El Manar, Tunis, Tunisia.
1 Department of Neurosurgery, National Institute of Neurology Mongi Ben Hmida, Tunis, Tunisia. 2 Department of Neurosurgery CTGB, Ben Arous, Faculty of Medicine, University OF Tunis El Manar, Tunis, Tunisia.
ABSTRACT
Rathke cleft cysts are benign sellar lesions that are generally asymptomatic. Rathke cleft cyst can enlarge and become symptomatic. Surgical therapy is the mainstay of treatment for symptomatic RCC. The optimal surgical strategy remains debatable. We report our experience with this lesion and we discuss the advantages and disadvantages of each technique through a literature review.
Rathke cleft cysts are benign sellar lesions that are generally asymptomatic. Rathke cleft cyst can enlarge and become symptomatic. Surgical therapy is the mainstay of treatment for symptomatic RCC. The optimal surgical strategy remains debatable. We report our experience with this lesion and we discuss the advantages and disadvantages of each technique through a literature review.
Cite this paper
Sofiene, B. , Mohamed, B. , Adnene, B. , Imed, B. , Asma, B. , Ihsen, Z. and Hafedh, J. (2014) Management of Rathke’s Cleft Cysts: About Three Observations. Open Journal of Modern Neurosurgery, 4, 169-172. doi: 10.4236/ojmn.2014.44029.
Sofiene, B. , Mohamed, B. , Adnene, B. , Imed, B. , Asma, B. , Ihsen, Z. and Hafedh, J. (2014) Management of Rathke’s Cleft Cysts: About Three Observations. Open Journal of Modern Neurosurgery, 4, 169-172. doi: 10.4236/ojmn.2014.44029.
References
[1] Kleinschmidt-DeMasters, B.K., Lillehei, K.O. and Steam, J.C. (1995) The Pathologic, Surgical, and MR Spectrum of Rathke Cleft Cysts. Surgical Neurology, 44, 19-27.
http://dx.doi.org/10.1016/0090-3019(95)00144-1 [2] Cohan, P., Foulad, A., Esposito, F., et al. (2004) Symptomatic Rathke’s Cleft Cysts: A Report of 24 Cases. Journal of Endocrinological Investigation, 27, 943-948.
http://dx.doi.org/10.1007/BF03347537 [3] Babu, R., Back, A.G., Komisarow, J.M., et al. (2013) Symptomatic Rathke’s Cleft Cyst with a Co-Existing Pituitary Tumor; Brief Review of the Literature. Asian Journal of Neurosurgery, 8, 183-187.
http://dx.doi.org/10.4103/1793-5482.125662 [4] Nishioka, H., Haraoka, J., Izawa, H. and Ikeda, Y. (2006) Headaches Associated with Rathke’s Cleft Cyst. Headache, 46, 1580-1586.
http://dx.doi.org/10.1111/j.1526-4610.2006.00539.x [5] Ross, D.A., Norman, D. and Wilson, C.B. (1992) Radiologic Characteristics and Results of Surgical Management of Rathke’s Cysts in 43 Patients. Neurosurgery, 30, 173-178; Discussion, 178-179.
http://dx.doi.org/10.1227/00006123-199202000-00004 [6] Nishioka, H., Haraoka, J., Izawa, H. and Ikeda, Y. (2006) Magnetic Resonance Imaging, Clinical Manifestations, and Management of Rathke’s Cleft Cyst. Clinical Endocrinology (Oxford), 64, 184-188.
http://dx.doi.org/10.1111/j.1365-2265.2006.02446.x [7] Chuang, C.C., Chen, Y.L., Jung, S.M. and Pai, P.C. (2010) A Giant Retroclival Rathke’s Cleft Cyst. Journal of Clinical Neuroscience, 17, 1189-1191.
http://dx.doi.org/10.1016/j.jocn.2009.12.017 [8] El-Mahdy, W. and Powell, M. (1998) Transsphenoidal Management of 28 Symptomatic Rathke’s Cleft Cysts, with Special Reference to Visual and Hormonal Recovery. Neurosurgery, 42, 7-16; 16-7. [9] Han, S.J., Rolston, J.D., Jahangiri, A. and Aghi, M.K. (2013) Rathke’s Cleft Cysts: Review of Natural History and Surgical Outcomes. J Neurooncol., 117, 197-203. [10] Janeczko, C., McHugh, J., Rawluk, D., et al. (2009) Hypophysitis Secondary To ruptured Rathke’s Cyst Mimicking Neurosarcoidosis. Journal of Clinical Neuroscience, 16, 599-600.
http://dx.doi.org/10.1016/j.jocn.2008.04.031
[1] Kleinschmidt-DeMasters, B.K., Lillehei, K.O. and Steam, J.C. (1995) The Pathologic, Surgical, and MR Spectrum of Rathke Cleft Cysts. Surgical Neurology, 44, 19-27.
http://dx.doi.org/10.1016/0090-3019(95)00144-1 [2] Cohan, P., Foulad, A., Esposito, F., et al. (2004) Symptomatic Rathke’s Cleft Cysts: A Report of 24 Cases. Journal of Endocrinological Investigation, 27, 943-948.
http://dx.doi.org/10.1007/BF03347537 [3] Babu, R., Back, A.G., Komisarow, J.M., et al. (2013) Symptomatic Rathke’s Cleft Cyst with a Co-Existing Pituitary Tumor; Brief Review of the Literature. Asian Journal of Neurosurgery, 8, 183-187.
http://dx.doi.org/10.4103/1793-5482.125662 [4] Nishioka, H., Haraoka, J., Izawa, H. and Ikeda, Y. (2006) Headaches Associated with Rathke’s Cleft Cyst. Headache, 46, 1580-1586.
http://dx.doi.org/10.1111/j.1526-4610.2006.00539.x [5] Ross, D.A., Norman, D. and Wilson, C.B. (1992) Radiologic Characteristics and Results of Surgical Management of Rathke’s Cysts in 43 Patients. Neurosurgery, 30, 173-178; Discussion, 178-179.
http://dx.doi.org/10.1227/00006123-199202000-00004 [6] Nishioka, H., Haraoka, J., Izawa, H. and Ikeda, Y. (2006) Magnetic Resonance Imaging, Clinical Manifestations, and Management of Rathke’s Cleft Cyst. Clinical Endocrinology (Oxford), 64, 184-188.
http://dx.doi.org/10.1111/j.1365-2265.2006.02446.x [7] Chuang, C.C., Chen, Y.L., Jung, S.M. and Pai, P.C. (2010) A Giant Retroclival Rathke’s Cleft Cyst. Journal of Clinical Neuroscience, 17, 1189-1191.
http://dx.doi.org/10.1016/j.jocn.2009.12.017 [8] El-Mahdy, W. and Powell, M. (1998) Transsphenoidal Management of 28 Symptomatic Rathke’s Cleft Cysts, with Special Reference to Visual and Hormonal Recovery. Neurosurgery, 42, 7-16; 16-7. [9] Han, S.J., Rolston, J.D., Jahangiri, A. and Aghi, M.K. (2013) Rathke’s Cleft Cysts: Review of Natural History and Surgical Outcomes. J Neurooncol., 117, 197-203. [10] Janeczko, C., McHugh, J., Rawluk, D., et al. (2009) Hypophysitis Secondary To ruptured Rathke’s Cyst Mimicking Neurosarcoidosis. Journal of Clinical Neuroscience, 16, 599-600.
http://dx.doi.org/10.1016/j.jocn.2008.04.031