DYSTROPHIA ADIPOSOGENITALIS 



875 



Character of Sella Turcica 



Group "C" Demonstrable original 

 smallness of sella turcica with 

 erosions, enlarging the cavity in 

 any or all directions. 



Salient Features of Symptomatology 



Pressure Signs. Long-continued 

 and periodic headaches, occasion- 

 ally ^ migrainous with ophthalmo- 

 plegia third nerve, fourth nerve, 

 sixth nerve; unilateral temporal 

 headache with lacrimation (nerve 

 from ophthalmic division of 

 fifth) ; epilepsy with later unci- 

 nate fits. 



Metabolic Signs. Fatigability with 

 headache and irregular menses 

 and suprarenal deficiency. Sec- 

 ondary frequently to status thy- 

 mico4ymphaticus. Disturbances 

 .in growth; acromegaly; spacing 

 of teeth; prognathism. 

 Mental. Slow development ; gradu- 

 al self-adjustment; and cure. 

 IF EROSION ANTERIOR. Bi- 



temporal hemianopia. 

 IF EROSION POSTERIOR. 



Pyramidal tract lesions. 

 IF EROSION LATERAL. Ocu- 

 lomotor disturbances; migraine. 



Group "D" Demonstrable en- Pressure Signs. Headache; bitem- 

 largement in all cavity dimen- poral hemianopsia; oculomotor 



palsies ; epilepsy ; intracranial 

 pressure; papilledema. 

 Metabolic Signs. ACROMEGA- 

 LY; gigantism; disturbed sugar 

 tolerance; etc. 



Skeletal Undergrowth and Infantilism 



One of the important functions of the pituitary gland is to stimulate 

 connective tissue growth, especially that of bone. Hypophyseal insuffi- 

 ciency, therefore, leads to undergrowth and defective skeletal develop- 

 ment. If the condition begins very early in life or is possibly congenital 

 in origin, hypophyseal dwarfism or infantilism results corresponding 

 to cretinism, which is the result of thyroid insufficiency in early life. 



