Case of the month: December 1998 - 16 year old female with headaches, lethargy and a sellar/suprasellar mass

Journal Article (Journal Article)

A 16 year female with a history of developmental delay and shunted hydrocephalus presented with two months of progressive headaches, lethargy and visual disturbances. An MRI of the brain revealed a sellar and suprasellar cystic mass which was absent on a previous MRI six years earlier. The pre-operative clinical diagnosis was pituitary adenoma vs. craniopharyngioma. Histologically, the fibrous wall of the ciliated epithelial-lined cyst was thickened by non-caseating granulomatous inflammation, hemorrhage, hemosiderin, and cholesterol clefts, consistent with cyst rupture. Rathke's cleft cysts are uncommon symptomatic lesions in young people, and must be distinguished from craniopharyngioma.

Duke Authors

Cited Authors

  • Cummings, TJ; Chu, CT; Hulette, CM

Published Date

  • January 1, 1999

Published In

Volume / Issue

  • 9 / 2

Start / End Page

  • 425 - 426

International Standard Serial Number (ISSN)

  • 1015-6305

Citation Source

  • Scopus