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X-Ray Seminar Number 8

JAMA. 1962;179(7):557-558. doi:10.1001/jama.1962.03050070079011.
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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


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