Rathke's cleft cysts (RCC) are usually incidental autopsy findings and are asymptomatic. ~1-3 Although symp- tomatic RCC is extremely rare, recent advances in magnetic resonance imaging (MRI) provide the means by which to de- tect them preoperatively. ~1-8 RCC may become symptomatic when its size increases and it compresses the surrounding tis- sues: the hypothalamus, hypophysis, optic nerve and chias- ma. The most common symptoms are impairment of visual acuity and /or visual field defects hypopituitarism, and headache.
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