{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:40:12Z","timestamp":1756305612361,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T00:00:00Z","timestamp":1710201600000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,2,23]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>There is no standard of care for management of Rathke cleft cysts (RCCs), and protocol for spontaneous rupture or residual capsule fragments is not well documented.<\/jats:p>\n               <jats:p>Our case involves a Caucasian man in his 80s who presented with muscle weakness, fatigue, bitemporal hemianopia and pain. Further examination demonstrated decreased thyroid and cortisol levels. MRI revealed a 1.6\u00d71.5\u00d71.3\u2009cm sellar homogenous mass with extension into the suprasellar cistern. While the size of the cyst was rather large, a decision was made to follow conservatively with serial MRI. At 3 years, the mass had spontaneously regressed. The patient was asymptomatic without imaging evidence of RCC recurrence at 4-year follow-up.<\/jats:p>\n               <jats:p>Classic indications for surgical intervention in suprasellar cysts were subtle in our patient and his advanced age made us take a conservative approach. Current data are lacking regarding management of RCCs presenting with endocrine dysfunction. Our case suggests that RCCs presenting with endocrine dysfunction may be managed conservatively with serial imaging-based monitoring.<\/jats:p>","DOI":"10.1136\/bcr-2023-258534","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T13:47:13Z","timestamp":1710251233000},"page":"e258534","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous and asymptomatic rupture of an RCC with resolution of symptoms"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0199-1294","authenticated-orcid":false,"given":"Maaria","family":"Chaudhry","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Saint Louis University Hospital, St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Botterbush","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saint Louis University Hospital, St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin K","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah Medical Center, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeroen","family":"Coppens","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saint Louis University Hospital, St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,3,12]]},"reference":[{"key":"2025082706591054000_17.3.e258534.1","doi-asserted-by":"crossref","first-page":"189","DOI":"10.3171\/jns.2005.102.2.0189","article-title":"Surgical outcomes in 118 patients with Rathke cleft cysts","volume":"102","author":"Aho","year":"2005","journal-title":"J 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of two cases","volume":"25","author":"Nishio","year":"2001","journal-title":"Clin Imaging"},{"key":"2025082706591054000_17.3.e258534.7","article-title":"Intrasphenoidal Rathke\u2019s cleft Cyst: an uncommon feat","volume":"15","author":"De Sousa Machado","year":"2023","journal-title":"Cureus"},{"key":"2025082706591054000_17.3.e258534.8","doi-asserted-by":"publisher","DOI":"10.1007\/s007010050482"},{"key":"2025082706591054000_17.3.e258534.9","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.3171\/2015.8.JNS151282","article-title":"The long-term recurrence of Rathke\u2019s cleft cysts as predicted by histology but not by surgical procedure","volume":"125","author":"Kinoshita","year":"2016","journal-title":"J 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