Rathke’s cleft cyst discovered with ruptured anterior communicating artery aneurysm: a case report

Journal of Medical Case Reports

Case Report

Nipun Lakshitha de Silva¹  Noel Somasundaram²  Manilka Sumanatilleke²  Saman Wadanamby³  Hemantha Gunathilaka³ 

[1] Department of Clinical Sciences, Faculty of Medicine, General Sir John Kotelawala Defence University, Ratmalana, Sri Lanka;Diabetes and Endocrine Unit, National Hospital of Sri Lanka, Colombo 10, Sri Lanka;Diabetes and Endocrine Unit, National Hospital of Sri Lanka, Colombo 10, Sri Lanka;Neurosurgical Unit, National Hospital of Sri Lanka, Colombo 10, Sri Lanka;

关键词: Rathke’s cleft cyst;    Anterior communicating artery aneurysm;    Subarachnoid hemorrhage;   

DOI  :  10.1186/s13256-023-04115-5

 received in 2022-03-10, accepted in 2023-08-03,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionRathke’s cleft cysts are thought to have a benign clinical outcome apart from associated hypopituitarism and visual defects. Synchronous central nervous system lesions, including pituitary adenoma and intracerebral aneurysms, are rarely reported. Diagnosis of Rathke’s cleft cyst after presenting with a subarachnoid hemorrhage due to a ruptured arterial aneurysm is reported only once before.Case presentationA 33-year-old Sri Lankan female presented with a subarachnoid hemorrhage due to a ruptured anterior communication artery aneurysm. She underwent pterional craniotomy and aneurysm clipping. She was found to have partial cranial diabetes insipidus and hypogonadotropic hypogonadism. She had a cystic lesion occupying enlarged sella turcica with characteristics of a Rathke’s cleft cyst. Subsequently, she underwent trans-sphenoidal excision of the sellar lesion. Histology confirmed the diagnosis of Rathke’s cleft cyst.ConclusionsRare co-occurrence of a Rathke’s cleft cyst and an anterior communicating artery aneurysm would have been missed if subtle manifestations atypical for subarachnoid hemorrhage were not further pursued. This could have led to progressive visual deterioration and hypopituitarism.

【 授权许可】

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© BioMed Central Ltd., part of Springer Nature 2023

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