EUNUCHOIDISM 407 



was 171.7 cm., the span width 179 cm. in Observation LI, H., the length 

 was 176 cm., the span width 185^ cm., the lower length 100 cm. In 

 Observation L, the height was 169, the span width 184. The tallness and 

 the preponderance of the length of the extremities is brought about by an 

 abnormally long remaining open of certain epiphysial junctures, namely, 

 those which usually ossify the latest. According to Tandler and Grosz they 

 are chiefly the following: The sternal end of the clavicle, the proximal end 

 of the humerus, the distal ends of the radius and ulna, the distal of the tibia 

 and fibula, the crista ilei, the tuber ischii. Often at the site of the coronal 

 and the parietooccipital sutures is found a tertiary suture formation. 

 The root of the nose is often deeply saddled. On the contrary the bone- 

 nuclei are apparently always correspondingly well-developed. At least in 

 Observation Sch, I could find at the fourteenth and at the sixteenth years of 

 his life that there was a development of the bone nuclei corresponding to his 

 age. Also in Observation W. M. (twenty- three years) and in Da (twenty 

 years) the bone nuclei are already developed very well. 



At later years the junctures may be fully closed (Case Thibierger and 

 Gastinel) . 



The sella turcica, so far as observations have been made on it is normal 

 in size or rather small (Tandler and-Grosz, also the author's observations). 

 This agrees with the observations of Eppinger, that in women with infantile 

 genitalia, the sella turcica is rather small. In my case a small focus of calci- 

 fication was found on X-ray examination (Observation Da). 



Almost always there are genua valga. These were always present in my 

 cases. Moreover, I could often observe the hyperextensibility of the joints, 

 especially of the phalanges of the fingers (confer case Da). At the diaphyses 

 the bones are commonly rarefied. 



The dentition is sometimes retarded. In Observation Da, milk-teeth 

 were present at the twentieth year. 



The larynx remains cartilaginous and retains the dimensions of child- 

 hood. The angle of the laminae thyroidae remains wide. The prominentia 

 laryngea is only slight. In highly pronounced cases voice remains high 

 and is usually shrill. 



All cases show the typical distribution of fat, that is, pads of fat on the 

 mons Veneris and the hypogastric region, which latter is separated from the 

 mons Veneris by a deep furrow. Moreover, there are copious fat deposits 

 on the buttocks and on the outer sides of the thighs, and fat deposits in the 

 breasts. Tandler and Grosz distinguish, as in true eunuchs, a tall and a fat 

 type. The tall individual always shows the eunuchoid distribution of fat, 

 however. Also in these individuals, who from some reason or other have lost 

 weight, is the distribution of fat always at least indicated by an inclination 

 to become fat. When the conditions are favorable, the obesity develops 

 surprisingly rapidly (confer Observation H). It may attain an excessive 



