Sajous's analytical cyclopædia of practical medicine . ternal tables, always separated by anabnormal space, alternately recede andcome together, giving a moniliform ap-pearance on cross-section, (b) Exag- ACROMEGALY (LAUNOIS AND CESBRON). 287 gcratcd liciglit and depth of the frontaland maxillary sinuses, {c) A more orless marked increase in the vertical, andespecially in the anteroposterior, dimen-sions of the pituitary fossa, which,markedly altered, in most instances pre-sents the appearance of a cup. To theseprimary modifications must be addedexaggeration of the postlambdoidalprominence (Pa
Sajous's analytical cyclopædia of practical medicine . ternal tables, always separated by anabnormal space, alternately recede andcome together, giving a moniliform ap-pearance on cross-section, (b) Exag- ACROMEGALY (LAUNOIS AND CESBRON). 287 gcratcd liciglit and depth of the frontaland maxillary sinuses, {c) A more orless marked increase in the vertical, andespecially in the anteroposterior, dimen-sions of the pituitary fossa, which,markedly altered, in most instances pre-sents the appearance of a cup. To theseprimary modifications must be addedexaggeration of the postlambdoidalprominence (Papillaut, Launois, andRoy). increase in the size of the fossa can be]>lainly appreciated at its posterior believes that enlargement ofthe bony cavity is the rule, even wherethe tumor is of relatively small size, andof slow, regular growth. The bony pa-rietes may, in certain cases, undergopressure atrophy. In cases of rapidlygrowing tumor they likewise disappear,being invaded by the neoplastic has established still nicer. Diagram of the acromegalic skull, worked out by P. E. Launois and P. Roy, according tothe X-ray findings of B<clere. Shows increased depth of frontal sinuses, irregular thickeningof the cranial bones, abnormal projection of postlambdoidal eminence, and enlargement ofsella turcica. By combining the above data we wereenabled to construct a diagram of theacromegalic skull, as shown in the an-nexed illustration. By taking X-ray pictures from thefacial aspect one can likewise learn ofthe changes occurring in the mandibleand the degree of prognathism they mayengender. German investigators have sought toattain further precision in their radio-graphic studies. According to von Rut-keroski, each time the hypophysis in-creases in volume the sella turcica veryrapidly enlarges in all dimensions; the distinctions. According to this author,if the tumor remains limited to the sellaturcica, the latter enlarges, but its aper-ture above does no
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
