56 GILBEKT HOEEAX 



Here we haye not only the indications of general intracranial pressure, 

 but there may be added to this any or all of the constitutional manifesta- 

 tions. No better summing up can be given than that recorded in 1909 by 

 Frankl-Hochwart, who says : "When one finds in a very young individual, 

 along with the general symptoms of tumor, as well as the local signs of a 

 lesion of the corpora quadrigemina, abnormal body growth, unusual growth 

 of hair, adiposity, somnolence, premature genital and sexual development, 

 and finally intellectual maturity, one must think of pineal tumor." 



Course and Prognosis 



Tumors of the pineal, up to the present time, have been inevitably 

 fatal, whether or not a correct diagnosis has been made, and in spite 

 of any therapy. The only chance in future lies in the possibility of 

 making a correct diagnosis more often, so that in the light of greater 

 familiarity with cerebral surgery, an approach to the pineal region may 

 perhaps be worked out. ~No medicinal measures have been of any avail, 

 except when, as was the case in one instance, the lesion was due to lues. 



