Roentgen diagnosis of diseases of the head . the sella. The dor-sum however was still present, was elongated and somewhat plump. Thepatient was operated upon by Hirsch. (See Hirsch. Wiener MinischeWochensehrift, 1911. p. 923.) Case 1.— female, thirty-one years old. For six months patient hadshown a bitemporal hemianopia and symptoms of acromegaly. The x-ray picture showed the sella to be considerably widened anddeepened. The dorsum was almost gone and the floor of the sella wasextremely thin. The patient was operated in the Chiari clinic. See Hochenegg, Wiener klinische Wochensehrift, 1908,


Roentgen diagnosis of diseases of the head . the sella. The dor-sum however was still present, was elongated and somewhat plump. Thepatient was operated upon by Hirsch. (See Hirsch. Wiener MinischeWochensehrift, 1911. p. 923.) Case 1.— female, thirty-one years old. For six months patient hadshown a bitemporal hemianopia and symptoms of acromegaly. The x-ray picture showed the sella to be considerably widened anddeepened. The dorsum was almost gone and the floor of the sella wasextremely thin. The patient was operated in the Chiari clinic. See Hochenegg, Wiener klinische Wochensehrift, 1908, pp. 409 and S91; 1909, p.:_ . Exner. Hittciltingen aus den Grensaebieten der Medisin und Chirurgie, Octo-ber, 1909. 182 ROENTGEN DIAGNOSIS OF DISEASES OF THE HEAD Cask 5.—K., female, fifty-seven years old. Patient had attacks of diz-ziness with a decrease in vision and slighl acromegalic changes. The roengtenogram, taken May 14. 1906, showed the sella turcica to bewidened to a considerable degree. Its Hour had a double contour. The. Fig. 55.—A sinistrodextral picture of a sella containing a tumor of the hypophysisin a patient with acromegaly. The dorsum is pushed backward and is thinner thannormal.


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