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Journal of Korean Neurosurgical Society > Volume 44(4); 2008 > Article
Journal of Korean Neurosurgical Society 2008;44(4): 256-258.
doi: https://doi.org/10.3340/jkns.2008.44.4.256
Large Ossified Rathke's Cleft Cyst: A Case Report and Review of the Literature.
Choong Hyun Lee, Eui Kyo Seo, Yong Jae Cho, Sang Jin Kim
Department of Neurosurgery, School of Medicine, Ewha Womans University, Seoul, Korea. yongcho@ewha.ac.kr
ABSTRACT
We report a rare case of symptomatic Rathke's cleft cyst with thick calcified wall. Brain CT scans revealed a large cystic mass with round thick calcified wall. In this case, we selected the pterional approach instead of transsphenoidal approach due to the possibility of cystic craniopharyngioma. Histopathologically, it was calcified Rathke's cleft cyst with focal epithelial metaplasia. This case illustrates that calcification of the suprasellar cyst does not always suggest craniopharyngioma and the calcification pattern of Rathke's cleft cyst is different from that of the craniopharyngioma.
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