Case Report

A Case of Apoplexy of Rathke’s Cleft Cyst Followed by Cerebral Infarction

Table 2

Reported cases of cerebral ischemia following pituitary apoplexy.

Author and yearAge, sexTerritory of infarctionAngiographical findingsSymptomDays after onsetMechanismPathology

Rosenbaum et al., 1977 [25]77, MRight MCARight ICA occlusion, left ICA stenosisLeft hemiparesis0cPA
Cardoso and Peterson, 1983 [19]34, FDiffuseBil. ICA, ACA, MCA stenosisReduced consciousness21vPA
38, MNABil. ICA, BA stenosisLethargic 0vPA
Bernstein et al., 1984 [8]48, MNABil. ICA stenosisReduced consciousness, hemiparesis0cPA
Clark et al., 1987 [26]40, MLeft ACARight ICA stenosis, left ICA occlusionDysphasia, right hemianopia, right hemiparesis0cPT
Pozzati et al., 1987 [21]15, MRight MCABil. ICA stenosisReduced consciousness0vPT
Itoyama et al., 1990 [27]45, MNALeft ICA, MCA stenosisReduced consciousness, right hemiparesis14vPA
Yaghmai et al., 1996 [28]47, MNoneRight ICA occlusionRight blindness1cPA
Lath and Rajshekhar, 2001 [12]40, MRight ICARight ICA occlusionLeft hemiparesis1cPA
Rodier et al., 2003 [29]35, MRight ICA,
ACA
Bil. ACA, right MCA stenosisReduced consciousness, left hemiparesis 2c and vPA
Akutsu et al., 2004 [30]29, MLeft MCALeft ACA stenosisReduced consciousness, right hemiparesis5vPA
Byung et al., 2007 [10]41, MLeft MCANARight hemiparesis, dysarthria7vPA
Dogan et al., 2008 [31]50, MLeft ICALeft ICA occlusionReduced consciousness0cPA
Das et al., 2008 [32]46, MLeft MCALeft ICA stenosisRight hemiparesis0cPA
Ahmed and Semple, 2008 [33]51, MBil. ACANALeft hemiparesis0cPA
31, FBil. ACANABil. blindness, reduced consciousness14vPA
Yang et al., 2008 [34]43, MRight ICARight ICA stenosisLeft hemiparesis0cPA
López Hernández, 2008 [35]23, MPT
Lill et al., 2009 [13]59, MBil. ICA Bil. ICA occlusionLeft hemiparesis, reduced consciousness0cPA
Chokyu et al., 2011 [36]50, MRight MCARight ICA occlusionLeft hemiparesis0cPA
Present case67, FRight MCARight MCA stenosisReduced consciousness, left hemiparesis13vRCC

ACA, anterior cerebral artery; MCA, middle cerebral artery; ICA, internal carotid artery; c, compression; v, vasospasm; PA, pituitary adenoma; PT, pituitary tumor.