. Roentgen diagnosis of diseases of the head . or represented anosteoma which projected deep into the cranial cavity to the region of themiddle cranial fossa. The case was operated and was * The four cases cited represent circumscribed osteomatawhich, according to their site, have a course free from symp-toms or are associated with severe cerebral, nervous, or oculardisturbances. The two cases folloAving illustrate the significance of theroentgen examination for the diagnosis of metastatic tumors ofthe skull bone: Case 5.—Male, fifty-six years old. Was suffering from diffuse pain,es


. Roentgen diagnosis of diseases of the head . or represented anosteoma which projected deep into the cranial cavity to the region of themiddle cranial fossa. The case was operated and was * The four cases cited represent circumscribed osteomatawhich, according to their site, have a course free from symp-toms or are associated with severe cerebral, nervous, or oculardisturbances. The two cases folloAving illustrate the significance of theroentgen examination for the diagnosis of metastatic tumors ofthe skull bone: Case 5.—Male, fifty-six years old. Was suffering from diffuse pain,especially in the region of the vertebral column. Tlie roentgenogram made and demonstrated to us by our colleague Hau-deck showed thickening (up to 10 mm.) and island-like osteoporosis of thecranium which could be interpreted as a local manifestation of a generalsarcomatosis of the skeleton. ^A roentgenogram of this case is found in my monograph in the Handbuch derNeiirologie by Lewandowsky, vol. i, Plate XI, Fig. 1. DISEASES OF THE SKULL 143. Fig. 29.—An anteroposterior picture of a case of sarcomatous infiltration of theskull. Note the osteoporosis appearing in the vault. At one point the vault appearsto be perforated.


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