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Case Presentation Case Presentation
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Assessment and Planning Assessment and Planning
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Decision-Making Decision-Making
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Surgical Procedure Surgical Procedure
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Aftercare Aftercare
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Complications and Management Complications and Management
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Evidence and Outcomes Evidence and Outcomes
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Further Reading Further Reading
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Cite
Abstract
Cystic lesions involving the sella have a distinct differential diagnosis including Rathke cleft cyst, cystic pituitary adenoma, craniopharyngioma, arachnoid cyst, and epidermoid among other entities. Workup includes not only cranial imaging but also endocrine evaluation for pituitary dysfunction and ophthalmologic evaluation to assess for visual deficits that may not be immediately apparent to the patient at presentation. Rathke cleft cysts are common and may be found in 20% of autopsy specimens. However, symptomatic Rathke cleft cysts are rare, and surgical decisions should be made judiciously based on preoperative symptoms and workup. Endonasal transphenoidal approach for cyst fenestration is a common surgical management technique for symptomatic lesions. Complete resection of the Rathke cleft cyst wall is not required.
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