Rathke Cleft Cyst with Occulomotor Palsy: An Unusual Presentation.

Rathke cleft cysts arise from remnants of Rathke's pouch. Often identified as incidental autopsy findings, these cysts can occasionally become large enough to cause headache, vision impairment, hypothalamic pituitary dysfunction and rarely, cranial neuropathy. MRI is the imaging modality of choice with surgical drainage recommended in symptomatic cases.