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 ORIGINAL ARTICLE
Year : 2010  |  Volume : 58  |  Issue : 1  |  Page : 69--73

Is there a need to diagnose Rathke's cleft cyst pre operatively?


1 Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India
2 Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bangalore, India
3 Department of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bangalore, India

Correspondence Address:
B Indira Devi
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.60402

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Background: Rathke's cleft cyst is a rare benign sellar lesion. The exact preoperative diagnosis of this lesion by clinical and radiological features is difficult. Hence it is often misdiagnosed as craniopharyngioma. Aim: To identify the radiological pointers for pre operative diagnosis of Rathke's cleft cyst. Materials and Methods: This study presents the details of nine patients who were operated in our institution between 1998 and 2008. Radiological and histopathological variations were studied. Results: The possibility of Rathke's cleft cyst was considered pre operatively in one patient only. On reviewing the images, characteristic imaging findings were observed in a few cases. Conclusion: As minimally invasive trans-sphenoidal approach is sufficient for treating these lesions, pre operative diagnosis is important.






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Online since 20th March '04
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