304 THE DISEASES OF THE HYPOPHYSIS 



Lately Sprinzels has shown a case before the Wiener Gesellschaft der 

 Arzte [Vienna Association of Physiciansl that, on account of the interest it 

 affords, I shall describe in detail. It was that of a young man seventeen 

 years old. In the third year of his life after a knock he sustained spasms, 

 probably of a toxic character. Since that time, great thirst and polyuria. 

 Since the fifth year of life cessation in growth, sometimes headache, intelli- 

 gence well developed, gay temperament. Height 106 cm., circumference of 

 head 52.5 cm., physiognomy that of a mature individual, skin soft, smooth, 

 rough and scaly only at certain places, dry, no secretion of sweat. Abun- 

 dant deposition of fat on chest and abdomen (mons Veneris?), no hairiness 

 on the trunk. Voice childish, several of the teeth belonging to the milk 



FIG. 58. Genitalia of Observation XLIII. 



set, genitals correspond to those of a six-year-old boy (erections were ob- 

 served, however). Amount of urine 3500-4000 cm., specific gravity 1002- 

 1003. Ossification relations correspond to those of a four-and-one-half 

 to five-year-old child. Sella turcica shows no tendency to bone destruc- 

 tion. "A shadow focus coming into the sella from above, and filling out 

 the sella like a bolt, leaving a light zone free," no disturbance of vision. 

 Diagnosis benign tumor of the hypophysis or in the vicinity of the hy- 

 pophysis, probably teratoma. 



I quote the following as a further case of marked disturbance in growth, 

 apparently due to a destruction of function of the hypophysis. We shall 

 find that it will interest us later, in the consideration of the proportioning of 

 the body and the behavior of ossification. 



