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<p>In these cases, it almost seems as if the hyperostosis must have commenced by <a href="http://www.hermesbagsoutlet.org/hermes-birkin-c-66.html">hermes birkin</a> a gumma this, however, is not the case. Osseous matter of a <a href="http://www.hermesbagsoutlet.org/hermes-kelly-c-70.html">hermes kelly</a> new formation is also deposited at the bottom of the affected spot. From the middle of the diploe, produced by the transformation of the medullary tissue, arise <a href="http://www.hermeshandbagsoutlet.org/hermes-birkin-c-66.html">hermes birkin</a> new osseous particles, which fill up the old medullary cavities of the diploe, and form, after <a href="http://www.hermeshandbagsoutlet.org/">hermes bags</a> a time, a sclerotic-looking membrane, which covers the whole of the affected parts. This membrane may spread for <a href="http://www.hermeshandbagsoutlet.org/">hermes handbags</a> some distance, even when the funnel-shaped depression is not deep, and does not extend beyond the cortical layer of the bone. The thickened parts of the diploe may be traversed by this sclerotic-looking membrane, which is continued into a bed <a href="http://www.hermesbagsoutlet.org/">hermes outlet</a> of osteophytes and hyperostoses on the opposite side of the bone, where they may be seen as distinctly as at the periphery of the funnel-shaped depression.<br>
Most frequently I have observed this last modification on the internal bony wall which looks toward the dura mater, even in affections whose origin was on the external <a href="http://www.hermesbagsoutlet.org/">hermes bags</a> surface of the cranium. The converse is rare viz., the affection commencing on the internal surface of the bones of the cranium, and then manifesting itself on the external face. I have observed voluminous masses of hyperostoses occupying the neighbouring surfaces in cases when absorption began ou the iuternal face. To what are we to attribute this <a href="http://www.hermesbagsoutlet.org/">hermes handbags</a> particular modification 1 There is no doubt that hyperostosis, as well as sclerosis of the surrounding osseous parts, is due to an irritation of the tissues, as is <a href="http://www.hermeshandbagsoutlet.org/hermes-kelly-c-70.html">hermes kelly</a> the case in many other forms of ostitis and periostitis. It is, however, difficult to explain the atrophy and the formation of <a href="http://www.hermeshandbagsoutlet.org/">hermes outlet</a> the starred and funnel-shaped depression. In no instance have I (during the evolution of this pathological act) observed the least trace of pus. Indeed, this morbid process might be called, and explained as, a dry caries, if it were not necessary to use the term caries to signify suppuration of bone.</p>
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