Roentgen diagnosis of diseases of the head . such a way that one must assume there wereextensive defects in their transverse and spinous processes. So far as weknow, this case was the first one in which the anomaly was diagnosed inlife. (See Atlas der ScliadeWasis, page 55.) Case 2.—Sixteen-year-old apprentice. Symptoms of a spastic paresis ofboth extremities. Since simultaneous, unassociated disturbances of sensa-tion existed, the diagnosis of syringomyelia was made. 124 ROENTGEN DIAGNOSIS (IF DISEASES OF THE HEAD The roentgen examination proved 111 <? presence I destructive changesin tin
Roentgen diagnosis of diseases of the head . such a way that one must assume there wereextensive defects in their transverse and spinous processes. So far as weknow, this case was the first one in which the anomaly was diagnosed inlife. (See Atlas der ScliadeWasis, page 55.) Case 2.—Sixteen-year-old apprentice. Symptoms of a spastic paresis ofboth extremities. Since simultaneous, unassociated disturbances of sensa-tion existed, the diagnosis of syringomyelia was made. 124 ROENTGEN DIAGNOSIS (IF DISEASES OF THE HEAD The roentgen examination proved 111 <? presence I destructive changesin tin region of the skull base and the cervical vertebrae, tin interpretationof which ;is Potls disease did no) coincide with the history and the otheiclinical findings. The postmortem confirmed the existence of destructivechanges discernable in the roentgen picture; viz., elevation of the skullbase, absence of the atlas with the exception of little rudiments of thetransverse processes, asymmetrical position of the cervical vertebrae with -^. —LJ Fig. 24.—Sketch made from an anteroposterior picture of a basilar Squama occipitalis. -/. Rudiment of the atlas. E. Epistropheus. LJ. Eower jaw. regard to the skull base. No signs of a tuberculous disease were found, bu1lather the details characteristic of basilar invagination. Figs. 23 and Idshow in outline the difference between the normal and the pathologic con-ditions shown in the x-ray plate of this case. Acromegaly The characteristic bone enlargemenl in acromegaly affectsthe whole skeleton, bu1 to the greatesl degree the peripheral DISEASES OF THE SKULL 125 portions of the extremities and the skull. The skull change inacromegaly, if we overlook the usual destruction of the sellaturcica produced by a hypophyseal tumor, consists in a grad-ually developing enlargement of the skull of individuals be-tween thirty and fifty years of age. The enlargement is usuallyto be seen most plainly in the face, especially in the f
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