Division of Child and Adolescent Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Division of Neurology, Mayo Clinic, Rochester, MN, USA.
J Clin Neurosci. 2014 Apr;21(4):692-4. doi: 10.1016/j.jocn.2013.06.009. Epub 2013 Oct 4.
Rathke's cleft cysts (RCC) are usually benign, sellar and/or suprasellar lesions originating from the remnants of Rathke's pouch. Rarely, RCC can present with chemical meningitis, sellar abscess, lymphocytic hypophysitis, or intracystic hemorrhage. We describe an unusual presentation of RCC in which the patient presented with a clinical picture of chemical meningitis consisting of meningeal irritation, inflammatory cerebrospinal fluid profile, and enhancing pituitary and hypothalamic lesions, in addition to involvement of the optic tracts and optic nerve.
拉克氏囊肿（RCC）通常为良性，起源于拉特克氏囊的残余，为鞍内和/或鞍上病变。RCC 罕见情况下可表现为化学性脑膜炎、鞍旁脓肿、淋巴细胞性垂体炎或囊内出血。我们描述了 RCC 的一种不常见表现，患者表现为化学性脑膜炎的临床特征，包括脑膜刺激、炎症性脑脊液特征以及垂体和下丘脑增强病变，此外还累及视束和视神经。
