Pituitary Hyposecretion and Hypersecretion Produced by a Rathke's Cleft Cyst Presenting as a Noncystic Hypothalamic Mass
作者:
Marc Wenzel,
Michael Salcman,
Donald Kristt,
Fouad Gellad,
Leonard Kapcala,
期刊:
Neurosurgery
(OVID Available online 1989)
卷期:
Volume 24,
issue 3
页码: 424-428
ISSN:0148-396X
年代: 1989
出版商: OVID
关键词: Diabetes insipidus;Hyperprolactinemia;Hypopituitarism;Hypothalamus;Rathke's cleft cyst;Suprasellar mass
数据来源: OVID
摘要:
&NA;A 53‐year‐old man presented with polydipsia, polyuria, lightheadedness on standing, and syncope. Visual field deficits suggesting left optic tract compression and pituitary dysfunction consisting of diabetes insipidus, hyperprolactinemia, and anterior pituitary insufficiency were diagnosed. On the computed tomography scan, an isodense, ring‐enhancing, parasellar mass was localized primarily in the suprasellar region and also extended into the sella. It was believed that the pituitary hormone hypersecretion and hyposecretion were due to hypothalamic dysfunction from the mass which was initially believed to be a craniopharyngioma. At surgery a Rathke's cleft cyst was resected. The unusual presentation of this Rathke's cleft cyst presenting as a hypothalamic lesion is discussed. (Neurosurgery24:424‐428, 1989)
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