File:Nervous and mental diseases (1919) (14801581833).jpg

Identifier: nervousmentaldis00chu (find matches)
Title: Nervous and mental diseases
Year: 1919 (1910s)
Authors: Church, Archibald, b. 1861 Peterson, Frederick, 1859-1938, joint author
Subjects: Nervous system Mental illness
Publisher: Philadelphia, London, W.B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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y, Schlof-fer, Eiselberg, Kanavel, Halsted, and Gushing. Operation is indicatedoq 1 Brit. Med. Jour., April 9, 1899. 514 NEUROSES. iu those cases which present marked symptoms of advancing braintumor, particularly optic neuritis, or beginning optic atrophy andthreatened blindness. It may also be undertaken to control the gen-eral acromegalic state, as already several operated cases are recorded in-which there has been an actual recession of the bony and soft tissueenlargements. After hypophysectomy, the patients condition must bewatched and hypophysis feeding employed if the cachexia of a hy-popituitarism appears. ADIPOSITY AND GENITAL DYSTROPHY. The relations of the genitals to the pituitary are abundantly estab-lished by clinical observations and animal experiments. Amenorrhea iufemale and impotence in the male subjects of acromegaly is a commonobservation. Some of the youthful giant cases never develop sexually.Castrated bulls and cocks show pituitary enlargement, and, on the other
Text Appearing After Image:
Fig. 216.—a;-Ray picture of normal sella turcica, marked +. hand, dogs subjected to partial excision of the hypophysis cerebri becomefat and asexual with atrophic genitals (Gushing). Juvenile cases presenting general adiposity and undeveloped genitalshave been of occasional mention in literature, but Froehlich ^ first calledattention to their relation to pituitary disease. Marburg ^ divides suchcases into three classes : (1) Simple adiposity, (2) adiposity with genitalatrophy, (3) simple genital atrophy. To these must be added (4) in-fantilism, or a simple lack of physical and sexual growth (Church^).Marburg further enunciated the formula that hyperfunction of the pitu-itary resulted in acromegaly; hypofunction in general adiposity andgenital dystrophy, complete pituitary defect in a severe cachexia anal-ogous to that after destruction or ablation of the thyroid. All thesejuvenile conditions are related to a lack or, in some instances, perhapsto ouly a perversion of pituitary contro

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