case_images: PMC9983498_01
case_images: Intrasellar and suprasellar lesion in a 67-year-old female patient, which is hyperintense in on coronal T2WI (A), hypointense on coronal T1WI (B), and no enhancement is observed on contrast-enhanced T1WI (C) diagnosed as Rathke's cleft cyst pathologically.
case_images: jbsr-107-1-3047-g1.jpg
case_images: PMC9983498_01_jbsr-107-1-3047-g1.jpg
case_images: F1
case_images: MRI evaluation revealed a large cystic intrasellar and suprasellar lesion with superior displacement of the optic chiasm, posterior displacement of the neurohypophysis, and extension to the cavernous sinuses (Figure 1).
case_images: MRI after first surgery: Coronal T1WI (A), Coronal post-contrast T1WI (B) and coronal T2WI revealed signs of intracranial hypotension: right and left subdural collections and pachymeningeal thickening and enhancement.
case_images: jbsr-107-1-3047-g2.jpg
case_images: PMC9983498_01_jbsr-107-1-3047-g2.jpg
case_images: F2
case_images: Immediate post-operative follow-up revealed a sphenoidal breach with CSF flow leading to intracranial hypotension which was followed up by MRI (Figure 2) and a surgical revision a few months later to clog it.
case_images: PMC9983498_02
case_images: Intrasellar lesion in a 22-year-old female patient with a hypointense component on coronal T2WI (A), which is hyperintense on coronal (B) and sagittal (D) T1WI, and without enhancement on coronal contrast-enhanced substracted T1WI (C) diagnosed as Rathke's cleft cyst pathologically.
case_images: jbsr-107-1-3047-g3.jpg
case_images: PMC9983498_02_jbsr-107-1-3047-g3.jpg
case_images: F3
case_images: No mass affect was observed (Figure 3).
case_images: PMC9983498_03
case_images: Coronal T2WI (A), coronal T1WI (B), coronal contrast-enhanced T1WI (C) and axial FLAIR (D) images in a 73-year-old female patient show cystic intrasellar and suprasellar lesion with a non-enhancing intracystic nodule hyperintense to surrounding fluid on T1 and hypointense on T2.
case_images: jbsr-107-1-3047-g4.jpg
case_images: PMC9983498_03_jbsr-107-1-3047-g4.jpg
case_images: F4
case_images: MRI examination demonstrated a cystic sellar and suprasellar lesion with a non-enhanced intracystic nodule (Figure 4).
case_images: Ten-year follow-up of the same patient: Coronal T2WI (A), T1WI (B), post-contrast T1WI (C) and sagittal T1WI (D) show an increase in size of the lesion as well as the intracystic nodule.
case_images: jbsr-107-1-3047-g5.jpg
case_images: PMC9983498_03_jbsr-107-1-3047-g5.jpg
case_images: F5
case_images: MRI revealed an increase in the size of both the cystic lesion and the intracystic nodule showing chiasmatic mass affect and without extension to the cavernous sinuses (Figure 5).
case_images: PMC9983498_04
case_images: Coronal T2WI (A), T1WI (B), post-contrast T1WI (C), sagittal T1WI (D) and axial FLAIR (E) images demonstrate a sellar and suprasellar lesion with heterogeneous content in the lower part of the lesion and peripheric enhancement.
case_images: jbsr-107-1-3047-g6.jpg
case_images: PMC9983498_04_jbsr-107-1-3047-g6.jpg
case_images: F6