RELATIONSHIP OF ENDOCRINE ORGANS TO GROWTH 497 



examination usually reveals disturbances of vision resulting in con- 

 traction of the visual field. The sugar tolerance may be abnormally 

 high or abnormally low. Violent headaches and periods of uncon- 

 sciousness or mental confusion are frequently experienced. 



The ultimate fate of these cases is usually heralded by loss of muscular 

 power and a train of symptoms which invite the supposition that the 

 fundamental condition from which the original abnormalities arose 



tM 



FIG. 37. Dystrophia-adiposo-genitalis. Age, fifteen years; gain of 124 pounds in 

 fourteen months. (After Gushing.) 



has become reversed. Examination of the skull by means of the 

 a>ray usually results, both in these cases and in the instances of 

 gigantism, in the discovery of a decided enlargement of the sella 

 turcica, or bony cavity in which the pituitary body is enclosed. Post- 

 mortem examination usually reveals a tumor in the neighborhood of 

 the pituitary body, either a sarcoma of the gland itself or a tumor 

 exterior to the gland but pressing upon it. 



It was pointed out by Marie that when the hypophyseal disturbance 

 32 



