Osteo-lipoma of the brain arising from the infundibulum / by F. Parkes Weber and Paul Daser.

  • Weber, Frederick Parkes, 1863-1962.
Date:
1907
Catalogue details

Licence: In copyright

Credit: Osteo-lipoma of the brain arising from the infundibulum / by F. Parkes Weber and Paul Daser. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    the other cells are large giant-cells and a few fat vesicles. The bony nodule may therefore be said to consist of open cancellous tissue, containing much more bone-marrow than bone. The relative absence of fat-cells in the bone-marrow of the tumour may perhaps be accounted for by the patient’s debilitating illness, that is to say, if we suppose that bone-marrow in cancellous osteomata reacts in cases of general illness just like the ordinary bone-marrow of the body does, which latter was unfortunately not examined in the present case. Remarks on the Literature of the Subject. Osteomata and lipomata of the brain belong to the great rarities in the way of tumour-formation, but from time to time examples have been recorded, and we shall first of all refer to J. S. Bristowe’s case,1 which seems to be the one most nearly resembling our own. It is the only case recorded in the f Patho- logical Society’s Transactions,’ and it seems to have escaped the attention of subsequent writers on the subject. The patient was a man, aged 44 years, who died of pulmonary tuberculosis, with- out having shown any signs of the presence of a cerebral tumour. At the necropsy a tumour about as large as a horse-bean was discovered at the base of the brain, having apparently arisen in the infundibulum and corpora albicantia. The tumour con- sisted of a central mass of true bone (showing lacunae and canaliculi, with here and there an Haversian canal) covered by a connective tissue containing a “ considerable quantity of oil.” The case was therefore, both in regard to the nature of the tumour and its position, remarkably similar to the present one. Thomson Walker,2 at the Society for the Study of Disease in Children, described the case of a little girl, aged years, with signs of intra-cranial disease. At the necropsy a cherry- sized tumour was discovered at the anterior part of the inter- peduncular space. “ Behind it was a cyst, the size of a walnut, 1 J. S. Bristowe, “Tumour connected with the Brain consisting of True Bone,” ‘Trans. Path. Soc. Bond.,’ 1855, vol. vi, p. 25. 2 J. W. Thomson Walker, “ Case of Primary Osteoma of the Brain,” ‘ Reports of the Society for the Study of Disease in Children/ London, 1902, vol. ii, p. 173. See also Thomson Walker, “ Osteomata of the Brain,” ‘ Journal of Pathology and Bacteriology/ Edinburgh, November, 1904, p. 81. Thomson Walker refers to the previously published cases or to nearly all of them,