Rarely are there offered any better opportunities for observing arteriosclerosis in all its degrees and varieties than are found among the patients of the state hospitals for the insane. In many of these institutions it is a routine practice to note the condition of the arterial system of each patient.
It is now a well-established fact that arteriosclerosis is frequently hereditary and often congenital; indeed, it is not rare to find it markedly present in subjects (especially degenerates and imbeciles) as young as twelve years of age.
The following case is reported not only because of its unusual occurrence, but also on account of the absence of certain pathologic lesions which one would expect to find.
The patient, Mrs.
—, aged 34, was admitted to the Maryland Hospital for the Insane April 25, 1900, suffering from melancholia agitata (puerperal in origin) which is now fast terminating in dementia.