Roentgen diagnosis of diseases of the head . 82). These were changes such 208 ROENTGEN DIAGNOSIS OP DISEASES OP THE HEAD as we see in intracranial pressure of a high degree. The operation (Hoeh-enegg Glinic) and tin* postmortem revealed thai it was a case of acusticustumor the size of a small apple which had extended deeply into thecerebellum. Case 12.—K. E., male, thirty-seven years old. Choked disc, disturbanceof hearing, cerebellar ataxia. On the roentgenogram there appeared an erosion of the dorsum sella1,shallow widening of the hypophyseal fossa, very marked eonvolutional im-pressions, an


Roentgen diagnosis of diseases of the head . 82). These were changes such 208 ROENTGEN DIAGNOSIS OP DISEASES OP THE HEAD as we see in intracranial pressure of a high degree. The operation (Hoeh-enegg Glinic) and tin* postmortem revealed thai it was a case of acusticustumor the size of a small apple which had extended deeply into thecerebellum. Case 12.—K. E., male, thirty-seven years old. Choked disc, disturbanceof hearing, cerebellar ataxia. On the roentgenogram there appeared an erosion of the dorsum sella1,shallow widening of the hypophyseal fossa, very marked eonvolutional im-pressions, and separation of the sutures. The postmortem showed that, inaddition to a cystic tumor id the acusticus the size of a small apple, caus-ing marked compression of the cerebellum and the pons, there existed achronic internal hydrocephalus with flattening- of the convolutions. (SeeLeischner, Case 6.) Case 13.—B. M., female, thirty-nine years old. Headache and vomitingfor the last year. For the last five weeks there had been diminished power. mr Fig. 82.—Sketch of the sella of Case 11, page 207. It shows a symmetrical erosionof the sella. The dorsum is thin and is bent forward. The erosion is of such a naturethat the posterior wall of the sphenoidal sinus is projected into the area of the Roof of orbit. PS. Planum sphenoidale. ACP. Anterior clinoid processes. of the sella. D. Dorsum sella?. 55. Posterior wall of the sphenoidal Outline of the middle cranial fossa. of vision and hearing- on the left side. Papillitis. On the left side the fifthand seventh nerves were slightly affected. Deafness and vestibular symp-toms. The tongue was deviated somewhat toward the left. Ataxia of theleft hand. Diagnosis, acusticus tumor on the left side. On the roentgenogram the skull appeared somewhat thick and showedslight eonvolutional impressions chiefly on the left side of the vault, andan enlargement of diploic veins was visible, signs of intracranial pressure,chi


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