摘要

Symptomatic Rathke cleft cysts (RCCs) are rare sellar and suprasellar lesions, and apoplexy is one of the most unusual presentations. Only a few cases of hemorrhagic apoplexy of an RCC have been reported and their pathogenesis is still poorly understood. In order to present a diagnostic thread to reduce misdiagnosis rate preoperatively, we report a case of RCC apoplexy and review associated published literature. We also summarize clinicopathological relationships between clinical symptoms, imaging features and intraoperative visualization of intracystic content.