PubMed · 14010049
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H ZELADA, M RAMOS MURGUIA. [Spinal dermoid cyst].. https://pubmed.ncbi.nlm.nih.gov/14010049/
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We report the case of a 52-year-old woman who developed vertical diplopia of 1-days duration. Neuro-ophthalmological testing revealed left trochlear nerve palsy, and sellar MRI revealed a 1.5 cm-sized pituitary mass lesion, a Rathke's cleft cyst. The diplopia disappeared spontaneously after 6 days.
Preoperative imaging of a 45-year-old woman disclosed a large (32 cc) meningeal cyst of the thoracic spine. A chest radiograph performed about four and a half years earlier exhibited a minute widening of the mediastinum in the same place, presumably representing the lesion in its nascent state. It is concluded that a meningeal cyst with a linear tendency to grow enlarges by about 6 cc per year.
Rathke's cleft cysts arise from remnants of Rathke's pouch and are usually found incidentally on MRI or autopsy. In childhood, the most common presenting symptoms of Rathke's cleft cysts are endocrine abnormalities, such as reduced growth hormone secretion, hyperprolactinemia, or diabetes insipidus. Non-specific symptoms, such as headache and visual disturbance, may also occur. Although precocious puberty has occasionally been described in association with suprasellar lesions, such as hamartomas, arachnoid cysts, and craniopharyngiomas, to our knowledge there have been no documented cases secondary to Rathke's cleft cysts. We report here two patients, both of whom presented with precocious puberty, and were found to have Rathke's cleft cysts.