Endoscopic endonasal resection of Rathke cleft cysts: clinical outcomes and surgical nuances.

作者: Ricky Madhok , Daniel M. Prevedello , Paul Gardner , Ricardo L. Carrau , Carl H. Snyderman

DOI: 10.3171/2009.10.JNS09348

关键词: Neurological disorderPresentation (obstetrics)SurgeryRetrospective cohort studyHeadachesCystMedicineEndoscopyRadiographyYoung adult

摘要: Object Rathke cleft cysts (RCCs) are benign lesions that can be diagnosed as an incidental finding associated with headaches, pituitary dysfunction, or vision deterioration. Typically, they occur in a sellar suprasellar location. The aim of this study was to review the clinical presentation and outcomes endoscopic endonasal resection these lesions. Methods authors retrospectively reviewed series 35 patients diagnosis RCC after at University Pittsburgh between January 1998 July 2008. Results All underwent purely approach (EEA). average patient age 34 years (range 12–67 years), follow-up 19 months 1–60 months). Clinical data were available for 32 patients, radiographic accessible 33 patients. complete removal cyst contents, according radiography studies 2 had recurr...

参考文章(22)
T Yoshimoto, H Ikeda, Clinicopathological study of Rathke's cleft cysts Clinical Neuropathology. ,vol. 21, pp. 82- 91 ,(2002)
Giorgio Frank, Vittorio Sciarretta, Diego Mazzatenta, Giovanni Farneti, Giovanni Carlo Modugno, Ernesto Pasquini, Transsphenoidal endoscopic approach in the treatment of Rathke's cleft cyst. Neurosurgery. ,vol. 56, pp. 124- 129 ,(2005) , 10.1227/01.NEU.0000144824.80046.1F
Nijasri Suwanwela, Kammant Phanthumchinda, Surachai Kaoropthum, Headache in brain tumor: a cross-sectional study. Headache. ,vol. 34, pp. 435- 438 ,(1994) , 10.1111/J.1526-4610.1994.HED3407435.X
Ronald J. Benveniste, Wesley A. King, Jane Walsh, Jacob S. Lee, Thomas P. Naidich, Kalmon D. Post, Surgery for Rathke cleft cysts: technical considerations and outcomes. Journal of Neurosurgery. ,vol. 101, pp. 577- 584 ,(2004) , 10.3171/JNS.2004.101.4.0577
Mitsuo Isono, Tohru Kamida, Hidenori Kobayashi, Tsuyoshi Shimomura, Junko Matsuyama, Clinical features of symptomatic Rathke's cleft cyst Clinical Neurology and Neurosurgery. ,vol. 103, pp. 96- 100 ,(2001) , 10.1016/S0303-8467(01)00121-4
Jan L. Kasperbauer, Laura J. Orvidas, John L. D. Atkinson, Charles F. Abboud, Rathke Cleft Cyst: Diagnostic and Therapeutic Considerations Laryngoscope. ,vol. 112, pp. 1836- 1839 ,(2002) , 10.1097/00005537-200210000-00024
A Teramoto, K Hirakawa, N Sanno, Y Osamura, Incidental pituitary lesions in 1,000 unselected autopsy specimens. Radiology. ,vol. 193, pp. 161- 164 ,(1994) , 10.1148/RADIOLOGY.193.1.8090885
Carlos Diogenes Pinheiro-Neto, Daniel M. Prevedello, Ricardo L. Carrau, Carl H. Snyderman, Arlan Mintz, Paul Gardner, Amin Kassam, Improving the design of the pedicled nasoseptal flap for skull base reconstruction: a radioanatomic study. Laryngoscope. ,vol. 117, pp. 1560- 1569 ,(2007) , 10.1097/MLG.0B013E31806DB514
Luigi M Cavallo, Daniel Prevedello, Felice Esposito, Edward R Laws, Joshua R Dusick, Andrea Messina, John A Jane, Daniel F Kelly, Paolo Cappabianca, None, The role of the endoscope in the transsphenoidal management of cystic lesions of the sellar region. Neurosurgical Review. ,vol. 31, pp. 55- 64 ,(2008) , 10.1007/S10143-007-0098-0
A. Alfieri, R. Schettino, A. Tarfani, O. Bonzi, G. A. Rossi, L. Monolo, Endoscopic endonasal removal of an intra-suprasellar Rathke's cleft cyst: case report and surgical considerations. Minimally Invasive Neurosurgery. ,vol. 45, pp. 47- 51 ,(2002) , 10.1055/S-2002-23582