Rathke's Cleft Cyst Abscess with a Very Unusual Course

Autor: Amy Coulden, Joshua Pepper, Agata Juszczak, Ruchika Batra, Swarupsinh Chavda, Latha Senthil, John Ayuk, Ute Pohl, Santhosh Nagaraju, Niki Karavitaki, Georgios Tsermoulas
Rok vydání: 2022
Předmět:
Zdroj: Asian Journal of Neurosurgery. 17:527-531
ISSN: 2248-9614
1793-5482
Popis: 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.
Databáze: OpenAIRE
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