The pituitary and sella turcica is located in the proximity of the neural, endocrine, vascular, meningeal and skeletal structures. The intimate relationship of these various structures results in myriad of pathological processes developed in this small anatomical area. We experienced a rare case of intrasellar arachnoid cyst induced anxiety and endocrinological symptoms without laboratory abnormality. It was confirmed by neurosurgical operation and magnetic resonance image that arachnoid cyst compressed the pituitary and infundibulum which might cause above clinical symptoms
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