Nervous and mental diseases . ss, intra-ocular pains, exophthalmos, contraction ofthe visual field, unilateral, homonymous, and bitemporal hemianopsia, andmiosis have been noted. The bilateral loss of the temporal fields or theirmanifest reduction indicates injury to the chiasm by the pituitary tumor. The muscular systeftn may be normal or some atrophy may be found,but general muscular weakness is the rule. The reflexes are normal ordiminished. The electrical responses are frequently quantitatively re-duced. Cardiac hypertrophy, arteriosclerosis, varicose veins, and slightlymphatic adenopathy
Nervous and mental diseases . ss, intra-ocular pains, exophthalmos, contraction ofthe visual field, unilateral, homonymous, and bitemporal hemianopsia, andmiosis have been noted. The bilateral loss of the temporal fields or theirmanifest reduction indicates injury to the chiasm by the pituitary tumor. The muscular systeftn may be normal or some atrophy may be found,but general muscular weakness is the rule. The reflexes are normal ordiminished. The electrical responses are frequently quantitatively re-duced. Cardiac hypertrophy, arteriosclerosis, varicose veins, and slightlymphatic adenopathy may be encountered. High arterial tension isthe rule until terminal stages are reached, when a flabby heart andattacks of syncope are frequently encountered. The thyroid may beabsent, normal, or hypertrophic. Polyuria, glycosuria, polydipsia, excess-ive appetite for food, and dyspepsia are common. General physical feebleness is usual, and mental sluggishness, irrita-bility, and inaptitude are common. GLAND ULAR NE UROSES. 513. Fig. 215. — Cervicodor-sal curvature of spine ; chestand abdominal distortion inacromegalia (Marie). Course and Forms.—The disease is of insidious onset and slowprogression, presenting a duration of twenty to thirty years and ter-minating by a cachectic state marked by greatmuscular weakness, during which death oftenoccurs suddenly through cardiac failure. Inter-current affections find acromegalics very vul-nerable. We may distinguish two varieties of acrome-galia, depending mainly upon the age at whichthe disease commences and the condition of epi-physeal ossification with the diaphyses: (1) Beforecomplete ossification takes place the enlargementis not only in lateral dimensions, but also inlength, and the limbs become disproportionate tothe body, producing gigantism. Autoptical find-ings by Hutchinson, Dana, Bramwell, Taruffi, andskiagraphical investigations by Marinesco conclu-sively show this relation. (2) After the diaphy-ses and the epiphyses ar
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Keywords: ., bookcentury1900, booksubjectmentalillness, booksubjectnervoussys
