Rathke's cleft cyst abscess with a very unusual course.
Coulden, Amy Pepper, Joshua Juszczak, Agata Batra, Ruchika Chavda, Swarupsinh Senthil, Latha Ayuk, John Pohl, Ute Nagaraju, Santhosh Karavitaki, Niki
Coulden, Amy
Pepper, Joshua
Juszczak, Agata
Batra, Ruchika
Chavda, Swarupsinh
Senthil, Latha
Ayuk, John
Pohl, Ute
Nagaraju, Santhosh
Karavitaki, Niki
Abstract
Infected Rathke's cleft cysts (RCC) are extremely rare with only a few published cases. We report the case of a 31-year-old man who presented with headaches, visual disturbance, and hypopituitarism secondary to an infected RCC with extension of abscesses along the optic tract. Magnetic resonance imaging showed ring enhancing cystic lesions within an expanded sella with suprasellar and intraparenchymal extension. The radiological appearance suggested a high-grade optic glioma, but an endoscopic transsphenoidal biopsy revealed frank pus in the pituitary fossa, which subsequently grew Staphylococcus aureus . Pathological examination of the cyst wall showed an inflamed RCC. Following a prolonged course of intravenous antibiotics, the infection resolved and vision improved. RCC abscesses are rare and the intracranial extension of the infection in our case makes it unique.
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Date
2022-09-01
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Citation
Coulden A, Pepper J, Juszczak A, Batra R, Chavda S, Senthil L, Ayuk J, Pohl U, Nagaraju S, Karavitaki N, Tsermoulas G. Rathke's Cleft Cyst Abscess with a Very Unusual Course. Asian J Neurosurg. 2022 Sep 1;17(3):527-531. doi: 10.1055/s-0042-1750798