Handbook of insanity for practitioners and students . are also ob-served in some other forms of insanity. Mistakes are,only avoided by taking into consideration all the othersymptoms of the case. It may here be mentioned that 138 HANDBOOK OF INSANITY. very wide pupils, with good reaction to light and accom-modation, are found often in hysteria and mania, whilethis symptom is wanting in epileptic attacks, meningitis,and increased cerebral pressure in general. The mobilityof contracted pupils is ascertained with difficulty, butpronounced narrowing is an important sign of profounddisease of the b
Handbook of insanity for practitioners and students . are also ob-served in some other forms of insanity. Mistakes are,only avoided by taking into consideration all the othersymptoms of the case. It may here be mentioned that 138 HANDBOOK OF INSANITY. very wide pupils, with good reaction to light and accom-modation, are found often in hysteria and mania, whilethis symptom is wanting in epileptic attacks, meningitis,and increased cerebral pressure in general. The mobilityof contracted pupils is ascertained with difficulty, butpronounced narrowing is an important sign of profounddisease of the brain, and is very frequent in beginningdementia paralytica. Great scientific interest attaches to the examination ofthe skull, although, in the diagnosis of psychoses, onlythe most marked changes come into question. Thesenever occur when the mental condition is entirely normal,while variations from the normal are also found in the skullsof sane individuals. These include the sexual female skull is smaller, on the whole; its height is. Fig. 8.—(After Merkel.) less, but its breadth is more developed. The base of thefemale skull is narrower and shorter. The most strik-ing peculiarity of the female skull, as seen in the livingsubject in profile, is the line of the upper curvature; the VARIATIONS IN THE SKULL. 139 flattening of the parietal region passes quite suddenly onthe one side into the vertical frontal line, on the other sideinto the sloping line of the occiput, so that more or less an-gular curves develop on both sides. In the male skull
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