Department of Neurosurgery, Indiana University School of Medicine, Indianapolis, Indiana 46202-5200, USA.
J Clin Neurosci. 2012 Jun;19(6):904-6. doi: 10.1016/j.jocn.2011.09.014. Epub 2012 Feb 14.
Rathke's cleft cysts are benign, non-neoplastic sellar lesions that are often asymptomatic. The rare patient with symptoms may present with pituitary dysfunction, headache, or visual problems. Visual deficits are generally consistent with a chiasmal syndrome as associated with other sellar lesions. Therefore, the most commonly described deficit is bitemporal hemianopsia. We describe a 16-year-old female patient who presented with rare, rapidly progressing monocular blindness without signs of apoplexy or hemorrhage. She had complete return of vision after surgical decompression. The rapid loss and recovery of vision suggest that ischemic factors, rather than deformation of the optic apparatus, contributed to her symptoms. The relevant literature is reviewed.
拉克氏囊肿是良性、非肿瘤性的鞍内病变，通常无症状。少数有症状的患者可能表现为垂体功能障碍、头痛或视力问题。视觉缺陷通常与其他鞍内病变相关的视交叉综合征一致。因此，最常描述的缺陷是双颞侧偏盲。我们描述了一位 16 岁的女性患者，她表现为罕见的、迅速进展的单眼失明，没有中风或出血的迹象。她在手术减压后视力完全恢复。视力迅速丧失和恢复表明，导致她症状的是缺血因素，而不是视神经的变形。回顾了相关文献。
