. Journal of radiology . la was altered and dif-ficult to identify. In the anterior por-tion of the middle fossa was a depres-sion simulating the sella. The lateralsinus was two centimeters in sphenoid bone was deformed les-sening the depth of the orbital large shadow overlying the parietalarea suggested hernia of the origin of this hernia could betraced to the posterior portion of theparietal bone where an area was seenthat strongly suggested spontaneous de-compression. The absence of puttyfinger impressions in the posterior two-thirds of the cranial vault ra
. Journal of radiology . la was altered and dif-ficult to identify. In the anterior por-tion of the middle fossa was a depres-sion simulating the sella. The lateralsinus was two centimeters in sphenoid bone was deformed les-sening the depth of the orbital large shadow overlying the parietalarea suggested hernia of the origin of this hernia could betraced to the posterior portion of theparietal bone where an area was seenthat strongly suggested spontaneous de-compression. The absence of puttyfinger impressions in the posterior two-thirds of the cranial vault rather cor-roborated the presumption of spontane-ous decompression associated with thehernia. Over the latter half of theshadow could be traced a series ofbranching lines continuous with thebone; these were interpreted as com-mencing ossification over the protrud-ing mass similar to the ossification notedby Watts in his case. Case 3 (A369905). A girl, agedtwo and one-half years, whose headhad been deformed since birth, was. Fig. 1—Case 1 (A174495)—Lateral view. Putty fingerimpresFiin== of intracranial rjressvtre. Prominent lateralsinus. Little evidence of mastoid cells. lower jawprojected (prognathism). Sella apparently normal insize and position with depth of the orbits lessened. Fig\ 2—Case 1 (A174495)—Anteroposterior view. Cen-tral ridge and bulging in the temporal region. Noevidence of the frontal sinuses. 466 OXYCEPHALY—SUTHERLAND brought to the Clinic for consultationwith regard to a cleft palate. The childhad sat up at the age of six months;she had not walked but stood firmlyand could climb well. She could sayonly a few words. Two brothers andtwo sisters were normal. Examination revealed a cleft softpalate, widely separated peg shapedteeth and ptosis of both eyelids, but noexophthalmos. There was a heman-gioma over the forehead about fivecentimeters in diameter. The opticnerves were pale, grayish, and blurred. It was difficult to secure roentgeno-grams, and onlv
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