Roentgen diagnosis of diseases of the head . am showed an extraordinary thickening of the skull. 186 ROENTGEN DIAGNOSIS OF DISEASES OF THE HEAD The sella was considerably widened and deepened and the dorsum wasreduced to a very thin Line. The anterior clinoid processes were thickened. Cask 15.—VV., female, sixty-seven years old. Patient complained of dis-turbance of sight with extreme limitation of vision, chiefly in the temporalregion. The face was said to have always had the striking prognathia alveola i is, found jiresent at the time of examination. The roentgenogram showed that the vault w
Roentgen diagnosis of diseases of the head . am showed an extraordinary thickening of the skull. 186 ROENTGEN DIAGNOSIS OF DISEASES OF THE HEAD The sella was considerably widened and deepened and the dorsum wasreduced to a very thin Line. The anterior clinoid processes were thickened. Cask 15.—VV., female, sixty-seven years old. Patient complained of dis-turbance of sight with extreme limitation of vision, chiefly in the temporalregion. The face was said to have always had the striking prognathia alveola i is, found jiresent at the time of examination. The roentgenogram showed that the vault was thicker than normal; espe-cially the frontal bone. The thickness approximated 20 mm. The innersurface of the hyperostosis was uneven and nodular. The sella turcicawas enlarged in all diameters, its floor was very thin. The dorsum wasalmost completely destroyed. The thickening of the skull that occurs in connection withintrasellar hypophyseal tumors should probably be consideredof acromegalic nature. In connection, however, it should be. WCf Fig. 63.—Sketch of the sella in Case 12. page 185. It is hemispherically enlargedto a marked) degree, the dorsum is slightly pushed backward and is somewhat thinnerthan normal. D. Dorsum sella. F. Double contour of the floor. ACP. Anteriorclinoid processes. O. Roof of the nearer orbit. PS. Planum sphenoidale. il/CF. Out-line of the middle cranial fossa. SS. Posterior wall of the sphenoidal sinus. noted that in older people there occurs, not rarely, a hyper-ostosis of the skull assoeiated with a bone atrophy. (See sec-tion on Senile Atrophy.) Case 16.—Dr. K., male, sixty-three years old. Had suffered from epi-leptic attacks for years. Strikingly pale. Had complained of disturb-ance of sight for the last six months. Cranium was very large, horizontalcircumference (51 cm. Face hairless. Of acromegalic habitus. In the roentgenogram the sella was markedly widened and deepenedand the dorsum was shortened. Case 17.—A., male, forty-four y
Size: 1831px × 1365px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjecthea, booksubjectskull
