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ISSN 2225-4676 (Electronic)

2015, Number 2

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Rev Cubana Neurol Neurocir 2015; 5 (2)

Endoscopic surgery of Rathke's cleft cyst: a case report

Pila BM, Fernandez LA, Leyva MT, Hidalgo GA, Quintana PI, Domínguez ÁC

Language: Spanish
References: 22
Page: 151-155
PDF size: 475.09 Kb.


ABSTRACT

Introduction: Rathke's cleft cyst is a rare, benign, sellar region lesion that arises from the embryonic remnants of Rathke's pouch. Incidence is higher in children and young adults, with ages between 10 to 29 years and it predominate in female. Most are asymptomatic throughout life and are found incidentally at necropsy or in imaging studies. Others can grow up and manifest usually with headaches, pituitary dysfunction and visual disturbances for compression of adjacent neurovascular structures.
Clinical case: In June of 2013, was made a surgical endoscopy approach of an intra and suprasellar Rathke's cleft cyst in National Center of Minimal Access Surgery in La Habana. A female of 38 years old with amenorrhea, galactorrhea, headaches, vomits and visual disturbances characterized for loss of near vision, with elevated serum prolactin level was admitted. A trans–nasal trans–sphenoid endoscopic surgery was made with cyst evacuation and wall lesion biopsy. Postoperative evolution was satisfactory with disappearance of all symptoms and serum prolactin levels returned to their normal values.
Conclusions: The endoscopic approach in treatment of Rathke's cyst often is a method of minimal access, efficacious and safer. By this way, an evacuation of the cyst with partial resection of its wall with a minimum of complications is effective, as it happened in this patient.


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