Evidence map›Paper›PMID 39549581›Full record

ArticleInternational journal of surgery case reports2024

Rathke's cleft cyst apoplexy presented as pituitary apoplexy: A case report.

Soumya Pahari, Yugant Khand, Stuti Yadav, Paawan Bahadur Bhandari, Purushottam Baniya, Nishan Bhandari

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Article in International journal of surgery case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Soumya PahariShree Birendra Hospital, Chhauni, Kathmandu 44600, Nepal. Electronic address: paharisoumya2@gmail.com.
Yugant KhandNepalese Army Institute of Health Sciences, College of Medicine, Sanobharyang, 44600 Kathmandu, Nepal. Electronic address: ykhand@gmail.com.
Stuti YadavShree Birendra Hospital, Chhauni, Kathmandu 44600, Nepal.
Paawan Bahadur BhandariShree Birendra Hospital, Chhauni, Kathmandu 44600, Nepal.
Purushottam BaniyaShree Birendra Hospital, Chhauni, Kathmandu 44600, Nepal.
Nishan BhandariShree Birendra Hospital, Chhauni, Kathmandu 44600, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceRathke'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.

conclusionThis report underscores the importance of considering RCC in the differential diagnoses of pituitary lesions with hemorrhage with promising surgical outcome.

Indexed as

Case reportPituitary apoplexyRathke cleft cystTranssphenoidal surgery

Identifiers

PMID39549581
PMCPMC11614853

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