Nervous and mental diseases . ^ incharacter, but its symmetrical distribution, association with develop-mental periods of life, and progressive nature point to a lack of trophiccontrol. Putnam/ accepting seven from Baumgartens list, has beenable to tabulate fifteen cases, including that of Edes. Morton Prince*believes that this condition is but a part of osteitis deformans, withwhich it is sometimes associated, and that both are of neuropathic. 229—Hyperostosis cranii (Putnam). origin. In the majority the disease appears under thirty years ofage, and often in childhood or at puberty. The crani


Nervous and mental diseases . ^ incharacter, but its symmetrical distribution, association with develop-mental periods of life, and progressive nature point to a lack of trophiccontrol. Putnam/ accepting seven from Baumgartens list, has beenable to tabulate fifteen cases, including that of Edes. Morton Prince*believes that this condition is but a part of osteitis deformans, withwhich it is sometimes associated, and that both are of neuropathic. 229—Hyperostosis cranii (Putnam). origin. In the majority the disease appears under thirty years ofage, and often in childhood or at puberty. The cranial enlargementis sometimes preceded by inflammations about the head, such as erysip-elas, and by traumatism. Early s^Tnptoms have been headache, drow-iAmer. Jour. Med. Sciences, July, 1896. 2 /^^-^^.^ Xov., 1902. 556 NEUROSES. siness, epileptic attacks, deafness, and blindness. Mental irritability orenfeeblement is common. Exophthalmos, loss of hearing, facial palsy,optic neuritis, and blindness are due to local or intracranial anterior portion of the head is usually most enlarged, and the upperfacial bones are more affected than the inferior maxilla. Prognathismis not commonly observed. There is usually a large increase in thebitemporal diameter. In some instances the bones are rather evenlyenlarged; in others there are numerous exostotic thickenings, both onthe outer and inner surface of the cranium, or on either aspect


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