Roentgen diagnosis of diseases of the head . S OF THE HEAD The roentgenogram disclosed atrophy of the skull and a decided en-largement of the accessory sinuses. The sella was almost completely de-stroyed. At the location for the dorsum selhe, one could see three thinleaves of bone, lying one behind the other. (See Fig. 65.) A postmortemperformed several months later showed the presence of a tumor of thehypophysis, the size of a childs fist, which had destroyed the body of thesphenoid and in places the floor of the middle cranial fossa. Case 2.—A. K., female, thirty-three years old. Enlargement
Roentgen diagnosis of diseases of the head . S OF THE HEAD The roentgenogram disclosed atrophy of the skull and a decided en-largement of the accessory sinuses. The sella was almost completely de-stroyed. At the location for the dorsum selhe, one could see three thinleaves of bone, lying one behind the other. (See Fig. 65.) A postmortemperformed several months later showed the presence of a tumor of thehypophysis, the size of a childs fist, which had destroyed the body of thesphenoid and in places the floor of the middle cranial fossa. Case 2.—A. K., female, thirty-three years old. Enlargement of thehands had been noticed for the last year. Disturbance of vision. The x-ray picture showed thickening of the skull vault and very muchenlarged accessory sinuses. Sella was very much dilated. The air cellsof the mastoid were projected over the dorsum sellas. (See Fig. 66.) The patient was operated upon in Hochenegg s Clinic according to theSchloffer method. The postmortem showed the existence of a large cystictumor of the Kig. 66.—Sketch of the sella in Case 2. MC. Outline of mastoid cells. They makethe dorsum appear irregular in detail. Case 3.—M., female, twenty-nine years old. Typical acromegaly. Atrophyof the optic nerves of both eyes. On the x-ray picture, the body of the sphenoid was destroyed, the dor-sum was not to be seen, and the anterior clinoid processes were thinnedand turned upward. The air cells in the mastoid extended far forwardinto the squama temporalis so that their contour was to be seen at thatpoint where the dorsum selhe is usually found. Case 4.—R., male, thirty-two years old. There existed an acromegalichabitus along with congenital anomalies ( nystagmus, imbecility). The roentgenogram showed almost comjdete destruction of the bodyof the sphenoid. Only at the place corresponding to the site of the dor-sum sellas was seen a thin leaf of bone which was bent in the shape ofa hook at its upper end. (See Figs. 67 and 68.) Group II. H
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Keywords: ., bookcentury1900, bookdecade1910, booksubjecthea, booksubjectskull
