Pediatric sphenoidal Rathke's cleft cyst

We report the case of a 13-year-old boy who underwent a head computed tomography for seizures revealing an incidental very large intrasphenoidal Rathke cleft cyst (RCC). The initial pre-operative differential diagnosis included meningocele and mucocele. It is important to consider a benign entity such as RCC to avoid potential unnecessary aggressive intervention. This is only the second reported case of an intrasphenoidal RCC and it is the first reported case of an intrasphenoidal RCC in the pediatric population.