Skip to main content
Log in

CT findings in symptomatic Rathke's cleft cysts of the pituitary gland

Report of three cases

  • Originals
  • Published:
Neuroradiology Aims and scope Submit manuscript

Summary

Symptomatic intrasellar Rathke's cleft cysts are rather rare: only a few cases with CT findings have been reported. The authors describe the CT appearance of 3. Histological aspects and embryology are discussed. Rathke's cleft cysts have to be differentiated from other intrasellar tumours: cystic craniopharyngiomas, cystic or necrotic pituitary adenomas, cysticercosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Berge T, Eriksson S (1967) Cystic pituitary tumour developed from Rathke's cleft. Acta Pathol Microbiol Scan 71: 321–327

    Google Scholar 

  2. Berry RG, Schlezinger NS (1959) Rathke's cleft cysts. Arch Neurol 1: 48–58

    Google Scholar 

  3. Bonneville JF, Dietermann JL (1981) Radiology of the sella turcica. Springer, Berlin Heidelberg New York

    Google Scholar 

  4. Burger PC, Vogel FS (1976) Surgical pathology of the nervous system and its coverings. Wiley and Sons, New York London Sydney toronto

    Google Scholar 

  5. Byrd SE, Winter J, Takahashi M, Joyce R (1980) Symptomatic Rathke's cleft cyst demonstrated on CT. Case report. J Comput Assist Tomogr 4: 411–414

    Google Scholar 

  6. Daniels DL, Williams AL, Thornton RS, Meyer GA, Cusick JF, Haughton VM (1981) Differential diagnosis of intrasellar tumors by CT. Radiology 141: 697–701

    Google Scholar 

  7. Eisenberg HM, Sarwar M, Schochet S Jr (1976) Symptomatic Rathke's cleft cyst. Case report. J Neurosurg 45: 585–588

    Google Scholar 

  8. Fager CA, Carter H (1966) Intrasellar epithelial cysts. J Neurosurg 24: 77–81

    Google Scholar 

  9. Craci G, Giordano R, Gerosa M, Rigobello L, Di Stephano E (1979) Ocular involvement in recurrent cyst of Rathke's cleft: case report. Ann Ophthalmol 11: 94–98

    Google Scholar 

  10. Jedinak CR, Oproiu A, Delalande O, Guiot G (1980) Non adenomatous intrasellar lesions. In: Derome PJ, Jedynak CP, Peillon —(eds) Pituitary adenomas. Asclepios, Paris

    Google Scholar 

  11. Martinez JL, Osterholm JL, Berry RG, Lee KF, Schat NJ (1979) Transsphenoidal removal of a Rathke's cleft cyst. Neurosurgery 4: 63–65

    Google Scholar 

  12. McGrath R (1971) Cysts of sellar and pharyngeal hypophyses. Mathology 3: 123–131

    Google Scholar 

  13. Menault F, Sabouraud O, Javalet A (1979) Kyste de la fente de Rathke. Rev Otoneuroophthalmol 51: 383–390

    Google Scholar 

  14. Messimy R, Namin R, Martines N (1955) Tumeur kystique de l'hypophyse de type vésiculaire, à revêtement cilié. Troubles pigmentaires associés. Rev Neurol 92: 235–240

    Google Scholar 

  15. Nagasaka S, Kuromatsu C, Wakisaka S, Kitamura K, Matsushima T (1981) Rathke's cleft cyst. Surg Neurol 15: 402–405

    Google Scholar 

  16. Naiken VS, Tellem M, Meranze DR (1961) Pituitary cyst of Rathke's cleft origin with hypopituitarism. J Neurosurg 18: 703–706

    Google Scholar 

  17. Obenchain TG, Becker DR (1972) Abcess formation in a Rathke's cleft cyst. Case report. J Neurosurg 36: 359–362

    Google Scholar 

  18. Raiti S, Albrink MJ, Maclaren NK, Chadduck WM, Grabriele OF, Chou SM (1976) Empty sella syndrome secondary to intrasellar cyst in adolescence. Am J Dis Child 130: 1009–1012

    Google Scholar 

  19. Raskind R, Brown HA, Mathis J (1968) Recurrent cyst of the pituitary: 26-year follow-up from first decompression. Case report. J Neurosurg 28: 595–599

    Google Scholar 

  20. Rasmussen AT (1929) Ciliated epithelium and mucus-secreitng cells in the human hypophysis. Anat Rec 41: 273–283

    Google Scholar 

  21. Ringel S, Bailey OT (1972) Rathke's cleft cyst. J Neurol Neurosurg Psychiatry 35: 693–697

    Google Scholar 

  22. Shanklin WM (1949) On the presence of cysts in the human pituitary. Anat Rec 104: 379–407

    Google Scholar 

  23. Shuangshoti S, Netsky M, Nashold BS jr (1970) Epithelial cystrelated related to the sella turcica. Proposed origin from neuroepithelium. Arch Pathol 90: 444–450

    Google Scholar 

  24. Steinberg GK, Koenig GH, Golden JB (1982) Symptomatic Rathke's cleft cysts. Report of two cases. J Neurosurg 56: 290–295

    Google Scholar 

  25. Troukoudes KM, Walfish PG, Holgate RC, Pritzker KPH, Schwarz ML, Kovacs K (1978) Sellar enlargement with hyperprolactinemia and a Rathke's pouch cyst. JAMA 240: 471–473

    Google Scholar 

  26. Weber EL, Vogel FS, Odom GL (1970) Cysts of the sella turcica. J Neurosurg 33: 48–53

    Google Scholar 

  27. Yoshida J, Kobayashi T, Kajeyama N, Kanzaki M (1977) Symptomatic Rathke's cleft cyst. Morphological study with light and electron microscopy and tissue culture. J Neurosurg 47: 451–458

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dietemann, J.L., Bonneville, J.F., Buchheit, F. et al. CT findings in symptomatic Rathke's cleft cysts of the pituitary gland. Neuroradiology 24, 263–267 (1983). https://doi.org/10.1007/BF00333178

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00333178

Key words

Navigation