Diseases of the nervous system - a text-book of neurology and psychiatry (1915) (14779578831)

Identifier: diseasesofnervo00jell (find matches)
Title: Diseases of the nervous system : a text-book of neurology and psychiatry
Year: 1915 (1910s)
Authors: Jelliffe, Smith Ely, 1866-1945 White, William A. (William Alanson), 1870-1937
Subjects: Mental Disorders Nervous System Diseases
Publisher: Philadelphia : Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons



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high sugar tolerance, and epilepsy. Marked improvement with whole gland feeding(pituitary). (From Cushings Pituitary Body.) of tumor may be fed pituitary extract, sometimes to advantage.Certain stationary acromegalic cases are benefited by this treatmentand others apparently are rendered stationary. Radiotherapy is in general inefficient. The chief surgical modes of relief are: (1) sellar decompression, forhypophj^seal headaches, or to permit a tumor mass to expand outside Polyglandular syndromes mi of the cranial cavity; (2) partial removal of a hyperplastic and over-acting gland; (3) partial removal for sake of saving eyesight; (4)subtemporal decompression to relieve general brain pressure symptoms;(5) combined operations;^ (G) operations for glandular transplantation. POLYGLANDULAR SYNDROMES. Under this broad grouping, a large number of syndromes, due tovarious glandular insufficiencies or hyperactivities, may be con-veniently placed. French clinicians have studied them extensively
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Fig. 58.—Adipose genital dystrophy. Tumor of pineal. (Bailey and Jelliffe.) as has already been indicated. Some of the more striking of thesesyndromes are here briefly mentioned. Their more extended considera-tion may be found in the works already cited, notably those of Falta,Lewandowsky, Gushing and Biedl. Clinically speaking they make alarge and variable medley. Pineal Syndrome.—Here teratomata are chiefly represented. Thepatients, usually young, show the signs of: (1) general pressure,especially with quadrigeminal signs; (2) metabolic anomalies—^adi-posity, sexual precocity and abnormal hair development.^ 1 See Gushing, Pituitary Body, Lippineott, 1912. ^ Bailey and Jelliffe, Tumors of the Pineal Body, Arch, of Int. Med., December, 1912. 166 THE ENDOCRINOPATHIES Adiposis Dolorosa.-—Dercum first named one of these syndromes.The patients slowly develop fatty deposits, often enormous in amount.This adiposity may show as nodular deposits (symmetrical lipomatosis),varying in si