AI Article Synopsis
- Rathke's cleft cysts (RCCs) are benign lesions linked to the pituitary gland and can occasionally mimic more common pituitary tumor complications like apoplexy, even though this happens rarely.
- In a case study, a 30-year-old male with headaches and vomiting had an RCC that was surgically treated, leading to its resolution and requiring ongoing thyroid hormone replacement.
- The report highlights the necessity of including RCCs in the diagnoses of pituitary lesions, especially when hemorrhage is present, as surgical intervention has positive outcomes.
Article Abstract
Introduction And Importance: Rathke's cleft cyst (RCC) are non-malignant lesions arising from remnants of Rathke's pouch in the pituitary gland. Apoplexy is seen commonly in pituitary macroadenomas but very rarely in RCCs.
Case Presentation: A 30-year-old male presented with a severe headache and vomiting. Imaging revealed an enlarged pituitary gland with possible hemorrhage in a RCC. The cyst was evacuated with endonasal transsphenoidal surgery, and histology confirmed RCC. Follow-up imaging showed complete cyst resolution, although he required levothyroxine for hypothyroidism.
Clinical Discussion: The occurrence of hemorrhage within RCCs, although rare, mimics pituitary tumor apoplexy often complicating the diagnosis. The management is similar to pituitary tumor apoplexy, primarily involving surgical intervention. Postoperative care may require long-term hormonal replacement therapy in a significant number of patients.
Conclusion: This report underscores the importance of considering RCC in the differential diagnoses of pituitary lesions with hemorrhage with promising surgical outcome.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614853 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2024.110571 | DOI Listing |
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