Surgical treatment of an abscess in a Rathke's cleft cyst

An abscess in a Rathke's cleft cyst was surgically treated in a 39-year-old man. The patient presented with headaches, fever, and visual deficits. Transcranial decompression of the optic chiasm was carried out first. The abscess recurred, however, and drainage of the abscess and removal of its wall via the transsphenoidal route was carried out 4 weeks later. Visual evoked responses were useful in the successful management of this lesion. The patient regained normal pituitary function and visual function after the operation.