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Suprasellar (Rathke's pouch) cyst:Report of unusual case simulating successively rheumatic fever,encephalitis, and brain-stem tumor; prolonged postoperative recovery and development of pubertas precox

Authors
Journal
The Journal of Pediatrics
0022-3476
Publisher
Elsevier
Publication Date
Volume
38
Issue
3
Identifiers
DOI: 10.1016/s0022-3476(51)80060-x
Disciplines
  • Medicine

Abstract

Summary A case of suprasellar (Rathke'spouch) cyst is reported, in which the initial history and neurological findings successively simulated (1) rheumatic fever, (2) encephalitis, and (3) brain stem tumors. Aspiration of the cyst, inadvertently at first, and intentionally subsequently, not only afforded dramatic relief of pressure symptoms, but when combined with ventricular air replacement permitted a striking demonstration of both the suprasellar cyst, as well as the ventricular system radiologically. The patient remains well five and one-half years after initial surgical drainage of the cyst, x-ray treatment also having been given. A remarkable degree of pubertas precox developed postoperatively and this, as well as the prolonged recovery following aspiration of the cyst only and x-ray therapy, is discussed.

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