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Pituitary adenoma and concomitant Rathke’s cleft cyst

Authors
 S. J. Noh  ;  J. Y. Ahn  ;  S. H. Kim  ;  K. S. Lee 
Citation
 ACTA NEUROCHIRURGICA, Vol.149(12) : 1223-1228, 2007 
Journal Title
 ACTA NEUROCHIRURGICA 
ISSN
 0001-6268 
Issue Date
2007
Abstract
Although pituitary adenomas and Rathke’s cleft cysts have a shared ancestry, they rarely occur simultaneously. Only 32 reports involving a pituitary adenoma and a concomitant Rathke’s cleft cyst were identified upon review of the literature. Most initial presenting complaints include hormonal symptoms, visual disturbances, and headache. Next to growth hormone, Prolactin was the most commonly hypersecreted pituitary hormone. Rathke’s cleft cysts show variable position, size, and signal intensity on magnetic resonance imaging (MRI). Here, we report a patient with a growth hormone- secreting pituitary adenoma associated with a Rathke’s cleft cyst. The mass contained two different signal intensities on MRI. The lesion was successfully removed assisted by intraoperative MRI, when the presence of both lesions was confirmed. When a non-enhancing cyst-like structure is demonstrated on imaging in a patient with a pituitary adenoma, the possibility of a coexisting Rathke’s cleft cyst should be considered.
Full Text
http://link.springer.com/article/10.1007%2Fs00701-007-1295-x
DOI
10.1007/s00701-007-1295-x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sun Ho(김선호) ORCID logo https://orcid.org/0000-0003-0970-3848
Ahn, Jung Yong(안정용)
Lee, Kyu Sung(이규성)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95516
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