A case of intracranial hemorrhage after endoscopic marsupialization of Rathke’s cleft cyst with nasoseptal flap

Kyuhyen Hwang; Eunkyu Lee; Doosik Kong; Sang Duk Hong

doi:10.55911/JKSBS.23.0030

A case of intracranial hemorrhage after endoscopic marsupialization of Rathke’s cleft cyst with nasoseptal flap

J Korean Skull Base Soc 2024;19(1):37-42

Published online May 30, 2024

Kyuhyen Hwang¹, Eunkyu Lee¹, Doosik Kong², Sang Duk Hong¹

¹Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
²Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Correspondence to: Sang Duk Hong
E-mail kkam97@gmail.com
ORCID https://orcid.org/0000-0003-3075-1035

Received December 18, 2023; Revised January 25, 2024; Accepted January 29, 2024.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract: Rathke’s cleft cyst (RCC) is a benign tumor that occurs in the pituitary or suprasellar region. Recently, marsupialization of RCC with nasoseptal flap is used to prevent stricture and recurrence after marsupialization. A 26-year-old female with recurrent RCC treated with marsupialization using nasoseptal flap, had intracranial hemorrhage after the surgery. Bleeding from the flap margin is considered to be the cause of the intracranial hemorrhage. Surgeons should be aware of the potential for this type of delayed hemorrhage when utilizing a nasoseptal flap in skull base surgery.; Keywords : Rathke cleft cyst, Nasoseptal flap, Hemorrhage