822 



PETEK BASSOE 



name. Twf) cases deserve especial mention, these reported by Buhl and 

 byaBassoe (&). 6 



Buhl's case was that of a man, Thomas Hasler, who was normal up 

 to the age of nine years, when a rapid growth commenced. This is said 

 to have followed a kick on the cheek by a horse. Some years later huge 

 hyperostoses of the facial and cranial bones appeared and were larger on 

 the injured side. At twelve he measured six feet. He died at twenty- 



Fig. 7. Base of skull in Buhl's case. (Mitt. a. d. pathol. Institut, Munchen.) 



five. 



His height then was 227 



cm., or 235 cm. (7 ft. 8% in.) with the 



back stretched; the weight, 155 kg. There were no lesions of the viscera. 

 All epiphyses, including those of the trochanters, were sharply outlined. 

 The skull showed enormous exostoses. The lower jaw was very irregu- 

 larly enlarged in all directions, its height at the middle of the chin being 

 12 cm. and thickness, 9 cm. ; the left side was the thicker. The upper 

 maxilla) were also thick. On the left side the processus frontalis, the 

 nasal, malar, ethmoid and lachrymal bones were greatly thickened, the 



6 For no very clear reason E. Fournier in his thesis includes Buhl's case among 

 instances of general gigantism with multiple exostosis dependent on inherited syphilis. 



