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  • Title: Is there a need to diagnose Rathke's cleft cyst preoperatively?
    Author: Raghunath A, Sampath S, Devi BI, Chandramouli BA, Lal GJ, Chickabasaviah YT, Bharath RD.
    Journal: Neurol India; 2010; 58(1):69-73. PubMed ID: 20228467.
    Abstract:
    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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