====== Rathke cleft cyst treatment ====== Typically treated via a [[transsphenoidal approach]] with [[cyst]] [[fenestration]] and [[drainage]]. At present, there is limited [[evidence]] to guide [[patient]] selection for operative treatment. Furthermore, there is minimal literature describing factors contributing to cyst recurrence. Cyst evacuation combined with or without biopsy/removal of the cyst wall is the optimal management strategy for symptomatic cases ((Aho CJ, Liu C, Zelman V, Couldwell WT & Weiss MH. Surgical outcomes in 118 patients with Rathke cleft cysts. Journal of Neurosurgery 2005 102 189–193doi:10.3171/jns.2005.102.2.0189.)) ((Baskin DS & Wilson CB. Transsphenoidal treatment of non-neoplastic intrasellar cysts. A report of 38 cases. Journal of Neurosurgery 1984 60 8–13doi:10.3171/jns.1984.60.1.0008.)) ((Benveniste RJ, King WA, Walsh J, Lee JS, Naidich TP & Post KD. Surgery for Rathke cleft cysts: technical considerations and outcomes. Journal of Neurosurgery 2004 101 577–584doi:10.3171/jns.2004.101.4.0577.)) ((el-Mahdy W & Powell M. Transsphenoidal management of 28 symptomatic Rathke's cleft cysts, with special reference to visual and hormonal recovery. Neurosurgery 1998 42 7–16doi:10.1097/00006123-199801000-00003.)). ----