Osteolytic Lesion of the Skull
Harold Simon, M.D., and William T. McCoy, M.B., B.S., BostonDr. N. T. Griscom: A 23-year-old woman entered the hospital with a chief complaint of pain in the left occipital area which had been present for 3 months. This region was so tender that she could not sleep on her back. A month ago she began to have generalized headaches, visual blurring, increased thirst and fatigability, and decreased tolerance for alcohol. Past history revealed that she had had a "black-out spell" while in bed about 2 months ago.Physical examination revealed a localized, tender area in the left occiput which was slightly raised. Neurological examination, laboratory studies, and metastatic series were negative.Skull films were obtained and interpreted: "There is no evidence of fracture. The sella turcica appears normal. The pineal is not visualized. There is no abnormal intracranial calcification. Approximately 3 centimeters inferior to
X-Ray Seminar Number 8. JAMA. 1962;179(7):557–558. doi:10.1001/jama.1962.03050070079011
* * SCHEDULED MAINTENANCE * *
The JAMA Network Sites will be conducting routine maintenance from 10/20/2017 through 10/21/2017. During this window access to content and authentication may be intermittently available. The JAMA Store will be completely unavailable during the maintenance window.