AJDRAJNR - American Journal of Neuroradiology

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ARTICLE

Atypical Rathke's Cleft Cyst Associated with Ossification

Yoko Nakasua, Satoshi Nakasu,a, Masayuki Nakajimaa, Ryuta Itoha and Masayuki Matsudaa

a From the Departments of Neurosurgery (Y.N., S.N., M.N., M.M.) and Radiology (R.I.), Shiga University of Medical Science.

Summary: We report a case of symptomatic Rathke's cleft cyst with ossification. CT scans showed curvilinear calcification on the wall of the cyst. MR images revealed a cystic sellar lesion with a nodular solid mass extending to the floor of the third ventricle. This case shows that calcification of the suprasellar cyst does not always suggest craniopharyngioma. Rathke's cysts should be histologically differentiated from craniopharyngiomas because their treatments are different.