ISSN - 0973-0958

Pediatric Oncall Journal View Article

A Case of Symptomatic Rathke`s Cleft Cyst in an Adolescent Girl
Resha S Soni1,2, Sidrah M Ahmad1,2, Sri K Chennupati1,2.
1Department of Otolaryngology, Temple University, Philadelphia, PA, USA,
2Department of Otolaryngology, St. Christophers Hospital for Children, Philadelphia, PA, USA.
Rathke’s cleft cysts (RCCs) are benign, nonneoplastic sellar and suprasellar lesions believed to arise from remnants of Rathke’s pouch. RCCs tend to remain asymptomatic throughout an individual’s lifetime and are often discovered incidentally. Rarely, a patient may present with frontal headaches, visual difficulties, or pituitary dysfunction. Most of these cases have been described in middle-aged adults, whereas symptomatic RCCs in children and adolescents are far less frequent. We describe a case of a 17-year-old girl presenting with generalized weakness, bifrontal headaches, and amenorrhea. Her signs and symptoms, attributed to a Rathke’s cleft cyst after careful histopathological evaluation, were almost completely resolved although she required three operative procedures within 1 year.

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