Clinical Remarks on a Case of Sporadic Cretinism

patient, who was kindly sent to me by Dr David Menzies, is suffering from sporadic cretinism?in other words, from the infantile form of myxcedema. She was admitted to the Edinburgh Eoyal Infirmary on March 30th, 1893. At that time, though she did not look more than 2 or 2| years of age, her actual age was 16 years and 4 months. She measured only 29? inches in length, and weighed only 2 st. 5| lbs. The anterior fontanelle was widely open ; it measured 6 by 5^ centimetres. The stumps of the first set of teeth were still present. She was unable to stand, though she could support herself in a semi-erect position by leaning on her chest and arms. She was unable to creep in the ordinary way, but she could pull herself along for a short distance on her belly by her arms. Her intelligence was to all intents and purposes nil, but she could see, hear, and taste. Owing to her defective mental