The pituitary body and its disorders : clinical states produced by disorders of the hypophysis cerebri. An amplification of the Harvey Lecture for 1910.

  • Cushing, Harvey, 1869-1939.
Date:
1912
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Licence: In copyright

Credit: The pituitary body and its disorders : clinical states produced by disorders of the hypophysis cerebri. An amplification of the Harvey Lecture for 1910. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    The headaches, which are accentuated by recumbency, have gradually become much more severe; they are bursting in character, so that his head has to be held, and are accompanied by hallucinations of a horn growing from his forehead. There has been projectile vomiting of late and much nausea. For three or four weeks he has had many Fig. 42.—Case V. X-ray of cranial base (nat. size), showing much distended sella (dotted). Jacksonian attacks, accompanied by an indescribable olfactory and gustatory sensation, and several seizures with unconsciousness, one lasting twenty-four hours. There has been marked loss of memory; also periods of dysarthria or actual aphasia. Absence of cutaneous perspiration has been noted for years. Polydipsia and polyuria have also been present in the past. Fig. 43.—Case V. Visual fields Dec. 21st. Physical Examination. An overnourished, delicate, boyish-looking young man (Fig. 41), suffering intensely with symptoms of cerebral pressure. The localizing signs obviously point to a large interpeduncular tumor. Blood and urine negative. Analysis of Hypophyseal Disturbances, (a) Neighborhood Symptoms: Stereoscopic X-ray plates show the sella to be practically destroyed (Fig. 42). Eyes: Bilateral exoph- 4