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2025, Number 2

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Acta Med 2025; 23 (2)

Recurrence of Rathke's pouch cyst: a clinical case

Alcocer MJL, Domínguez CLG
Full text How to cite this article 10.35366/119481

DOI

DOI: 10.35366/119481
URL: https://dx.doi.org/10.35366/119481

Language: Spanish
References: 3
Page: 166-168
PDF size: 245.66 Kb.


Key words:

Rathke´s pouch cyst, pituitary tumor, recurrence.

ABSTRACT

Rathke's cyst is rare, representing less than 1% of primary brain masses, and usually asymptomatic. As it grows, it causes generalized headaches, diplopia, and blurred vision due to compression of neighboring structures. It originates from Rathke's pouch, which is an ectodermal invagination in the stomodeum that, between the third and fourth week, grows dorsally towards the infundibulum, giving rise to the adenohypophysis. MRI shows a hyperintense mass on T1, hyperintense, or isointense on T2; the cyst does not enhance with contrast medium. Surgery is the treatment of choice. Recurrence increases exponentially after 72 months.


REFERENCES

  1. Han SJ, Rolston JD, Jahangiri A, Aghi MK. Rathke's cleft cysts: review of natural history and surgical outcomes. J Neurooncol. 2014; 117 (2): 197-203. doi: 10.1007/s11060-013-1272-6.

  2. Voelker JL, Campbell RL, Muller J. Clinical, radiographic, and pathological features of symptomatic Rathke's cleft cysts. J Neurosurg. 1991; 74 (4): 535-544.

  3. Qian A, Zhou J, Zhang X, Yu J, Wang X. Incidencia y factores asociados con la recurrencia del quiste de la hendidura de Rathke después de la cirugía: una revisión sistemática y un metanálisis. Front Surg. 2023; 9: 1065316.




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Acta Med. 2025;23