Presentation
Known avascular lesion in the sella turcica followed with MRI for more than 4 years.
Patient Data
Age: 40 years
Gender: Male
From the case:
Rathke cleft cyst - T2 hypointense
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Interestingly, besides the T2 hypo and T1 hyperintense Rathke cyst, which does not enhance, there is also a Thornwaldt cyst in the epipharynx. Both Rathke's pouch and Thornwaldt cysts (epipharyngeal bursae) are closely related to the chorda dorsalis during embryogenesis.
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T2 hypointense and T1 hyperintense lesion in the sella, anterior to the neurohypophysis, which also shows T1-hyperintense (but not T2 hypointense) signal.
Case Discussion
T2 hypointensity in a pituitary cyst is regarded as highly suggestive of a Rathke cleft cyst 1.
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