Transactions . portion. The tables wereunusually dense and thick. The frontal sinuses, while notoverlarge, did not appear to be abnormally small. Theposterior ethmoidal sinuses were not affected. The sphe-noidal sinuses were encroached upon from above andbehind. The pituitary fossa seemed depressed forward anddownward, and to a certain extent was enclosed; the wallswere thick. The middle fossa of the skull was wide in theanteroposterior diameter and deepened. The anterior fossawas shallow and narrow in the anteroposterior diameter, but Hollo WAY: Cranial Deformity With Ocular Changes. 697 not
Transactions . portion. The tables wereunusually dense and thick. The frontal sinuses, while notoverlarge, did not appear to be abnormally small. Theposterior ethmoidal sinuses were not affected. The sphe-noidal sinuses were encroached upon from above andbehind. The pituitary fossa seemed depressed forward anddownward, and to a certain extent was enclosed; the wallswere thick. The middle fossa of the skull was wide in theanteroposterior diameter and deepened. The anterior fossawas shallow and narrow in the anteroposterior diameter, but Hollo WAY: Cranial Deformity With Ocular Changes. 697 not so narrow as in Case I. The character of the skulldeformity is well shown in the accompanying :c-ray measurements were as follows: Anteroposterior diameter,Staphanion diameter,Maximum transverse circumference,Binauricular curvature,Binauricular diameter, 163 mm. 135 mm. 490 mm. (no deduction for hair)350 mm. 127 mm. The skull was brachycephalic, the cephalic index being Fig. 3.—Case II. Visual Fields, April 3, 1913. Green not recognized with right eye. Owing to the complexity of the symptoms and cHnicalfindings in Case II, it is impossible to say whether the slowbut progressive loss of vision has been dependent upon theprimary injury to the nerves or whether other factors—forexample, the several copious hemorrhages for which nocause has been found—have produced further deleteriouseffects. Neurological opinions expressed prior to the recentnegative Wassermann tests, make it uncertain as to whethercertain nervous manifestations were functional or organic. In the majority of these cases the fields are found to beconcentrically contracted, but it will be noted that Case IIultimately developed a nasal hemianopsia on the right side 698 Hollo WAY: Cranial Deformity With Ocular Changes. (Fig. 3) analogous to changes, partial or complete, that wereshown in the cases of Friedenwald, Anton and Patry. Inneither case were there any associated
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