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Research ArticleBRAIN

Atypical Rathke's Cleft Cyst Associated with Ossification

Yoko Nakasu, Satoshi Nakasu, Masayuki Nakajima, Ryuta Itoh and Masayuki Matsuda
American Journal of Neuroradiology July 1999, 20 (7) 1287-1289;
Yoko Nakasu
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Satoshi Nakasu
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Masayuki Nakajima
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Ryuta Itoh
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Masayuki Matsuda
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    fig 1.

    Calcification in Rathke's cleft cyst in a 23-year-old woman.

    A, Presurgical axial CT scan of head shows crescent-like calcification in wall of suprasellar cyst.

    B, Postcontrast CT scan reveals thin-ring enhancement of wall of cyst.

    C, Presurgical sagittal T1-weighted MR image (400/15/2 [TR/TE/excitations]) shows hyperintense cyst with small nodule in inferior wall of cavity. Character of cyst wall is not apparent on this image.

    D, Sagittal T2-weighted MR image (5000/90/1) depicts a small, nodular lesion in the anterior ventral portion of cyst. Note that cyst wall is not well defined on MR images.

    E, T1-weighted MR image (400/14/2), after contrast administration prior to second surgery, shows an intra- and suprasellar cyst with enhancing thin wall and septum.

    F, lntraoperative photograph shows a bony plate (curved arrows) in cystic cavity underneath incised dura of sellar floor (transsphenoidal approach).

    G, Photomicrographs of biopsy specimen. Cyst is lined by a layer of columnar cells with cilia (arrows) (hematoxylin-eosin–stained section, × 200).

    H, Photomicrographs of a plate of mature bone removed from cyst cavity in hematoxylin-eosin–stained section (× 200).

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American Journal of Neuroradiology
Vol. 20, Issue 7
1 Jul 1999
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Atypical Rathke's Cleft Cyst Associated with Ossification
Yoko Nakasu, Satoshi Nakasu, Masayuki Nakajima, Ryuta Itoh, Masayuki Matsuda
American Journal of Neuroradiology Jul 1999, 20 (7) 1287-1289;

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Atypical Rathke's Cleft Cyst Associated with Ossification
Yoko Nakasu, Satoshi Nakasu, Masayuki Nakajima, Ryuta Itoh, Masayuki Matsuda
American Journal of Neuroradiology Jul 1999, 20 (7) 1287-1289;
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