Fracture of the clinoids has been observed by several physicians but is a rare occurrence. The case here reported is of interest because of the excellent demonstration of the lesion by means of the roentgen ray and because of the typical history. W. B., a young Irish-American, who had for years exhibited signs of constitutional inferiority, having a small, meager frame, long, slender hands and feet, high arched palate, adherent ear lobes and small irregular skull, was in many ways abnormal mentally, in that he was intractable and would not submit to much medical supervision and care. He was admitted to the hospital because of excruciating bitemporal headaches. These were so severe that he was unable to work. During a more than severe encephalalgia he was suddenly relieved of all pain. A roentgenogram the following day revealed a small sella turcica and fracture of the posterior clinoid processes of the