866 AUGUST STEAUCH 



i 



large heads. In one of the cases of Babonneix and Paisseau adiposity 



started after scarlatina, as in the patient of Neurath, and in one of my 

 own observations after typhoid, complicated possibly by serous meningitis, 

 with chronic hydroeephalus resulting. Gushing in his elaborate mono- 

 graph on the pituitary body expresses the view that secondary changes 



Fig. 6. Extreme obesity in a hoy 2 years, 9 months old. From the beginning of 

 the second year of age a rapid gain in weight took place. Body weight 24.82 kgm. 

 (54 Ibs., 0.5 oz. ) ; height 94 cm. (36% inches) ; mental deficiency. After administration 

 of pituitary extract the hoy lost weight and commenced to develop mentally. From 

 Talbot's article Am. J. Dis. Child., 1920, XX. Original illustration Fig. 1, page 332. 



probably occur in the hypophysis in every case o*f increased intracranial 

 tension, often with gross deformity and resultant functional disturbances 

 which frequently elicit recognizable manifestations. He reviews the 

 then scanty literature on the relation of hydrocephalus to the pituitary 

 gland. 



From the various reports it appears that the type of adiposity under 



