. The American journal of roentgenology, radium therapy and nuclear medicine . -), going as far as the lum-bar region before showing itself. As to points of differential diagnosis,aside from the distinction from simple tor-. FiG. 2. Normal atlas and axis taken through the nose. ticollis, authors place considerable weight ondifterentiation from mastoid disease and thevarious symptom syndromes due to compres-sion of nerve roots, or even from cerebellartumor. Since apparently trustworthy obser-vers have confessedly been misled in theirdiagnosis in these points with, of course, dis-astrous results
. The American journal of roentgenology, radium therapy and nuclear medicine . -), going as far as the lum-bar region before showing itself. As to points of differential diagnosis,aside from the distinction from simple tor-. FiG. 2. Normal atlas and axis taken through the nose. ticollis, authors place considerable weight ondifterentiation from mastoid disease and thevarious symptom syndromes due to compres-sion of nerve roots, or even from cerebellartumor. Since apparently trustworthy obser-vers have confessedly been misled in theirdiagnosis in these points with, of course, dis-astrous results to the patient, and no doubtno end of cliagrin to themselves, it is appar-ent that su1)occipital spinal caries must beconsidered when one of the atypical cases ofmastoiditis or of pressure on the lowerbrain or lower cranial nerves is up for diag-nosis. Manifestly the diagnosis, from atherapeutic standpoint, is tremendously im-portant ; for the treatment, for instance, ofacute mastoid disease and spinal caries is ex-actly opposite, in that in the former surgeryis to be considered, and in the latter, cer-tainly not. Case Report. L. S., female, aged eleven,was referred to me on December 27, 1920,by Dr. F. S. Ryan with
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