Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun;75(2):1028-1030.
doi: 10.1007/s12070-022-03283-y. Epub 2022 Dec 10.

Rathke Cleft Cyst with Occulomotor Palsy: An Unusual Presentation

Affiliations

Rathke Cleft Cyst with Occulomotor Palsy: An Unusual Presentation

Sreedhar Sandeep et al. Indian J Otolaryngol Head Neck Surg. 2023 Jun.

Abstract

Rathke cleft cysts arise from remnants of Rathke's pouch. Often identified as incidental autopsy findings, these cysts can occasionally become large enough to cause headache, vision impairment, hypothalamic pituitary dysfunction and rarely, cranial neuropathy. MRI is the imaging modality of choice with surgical drainage recommended in symptomatic cases.

Keywords: Occulomotor; Palsy; Rathke cyst.

PubMed Disclaimer

Conflict of interest statement

Conflict of InterestsNil declared.

Figures

Fig. 1
Fig. 1
MRI (Coronal and axial sections) showing the lesion
Fig. 2
Fig. 2
Endoscopic image showing posterior septectomy and left sphenoidotomy
Fig. 3
Fig. 3
Post operative endoscopic image showing well healed cavity
Fig. 4
Fig. 4
Post operative MRI showing complete resolution of the lesion

References

    1. McGrath P Cysts of sellar and pharyngeal hypophyses. Pathology. 1971 Jan 1;3(2):123 – 31 - PubMed
    1. Burger PC, Scheithauer BW (1994) Tumors of the central nervous system. Amer Registry of Pathology
    1. Trifanescu R, Ansorge O, Wass JA, Grossman AB, Karavitaki N (2012 Feb) Rathke’s cleft cysts. Clin Endocrinol 76(2):151–160 - PubMed
    1. Yum HR, Jang J, Shin SY, Park SH (2015) Rathke cleft cyst presenting as unilateral progressive oculomotor nerve palsy. Canadian Journal of Ophthalmology. Apr 1;50(2):e31-3 - PubMed
    1. Zada G (2011) Rathke cleft cysts: a review of clinical and surgical management. Neurosurgical focus. Jul 1;31(1):E1 - PubMed

LinkOut - more resources