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Updated: June 9, 2025
The masculine pituitary personality, the man with a dominant anterior pituitary gland in a roomy sella turcica with plenty of space to grow in, is the ideal virile type. The head is of the marked dolichocephalic type, flattened at the sides, face is oval more or less, with thick eyebrows, eyes rather prominent, nose broadish and long, lower jaw prominent and firm.
Finally X-ray examinations of the sella turcica, the bony lodging of the pituitary, clinched the matter: it often appeared small, or enlarged, with erosions of the bone, signifying a desperate attempt of the gland to grow, and meet the needs of the organism. The complex of appearances called migraine now becomes understandable.
Should they not, should adverse mechanical circumstances or chemical malfunction prevent, dire effects may follow. A woman with the closed-in type of pituitary, shut up in a small non-expansile sella turcica, will suffer the most violent headaches, will become fat, will frequently abort. Of adrenal insufficiency, failure of the adrenals to hypertrophy sufficiently in pregnancy, little is known.
X-ray examination of the sella turcica shows what is called erosion of the bone as it yields to the pressure of the growing gland. The ideal sella turcica for the ideal pituitary type is a large room in which the gland may grow and reach its maximum size and so its maximum function, without needing to exert pressure or destroy and erode bone in front of it, to the side of it or behind it.
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