H. S. Stannus 
5 
A few other cases of Gongenital Idiocy have been seen and inchide au example 
of Spastic Diplegia, a Mongol Idiot aged 4 years in W. Nyasa district and two 
microcephalic idiots met with in adjacent villages in Chikala district, in neither of 
which were factors of etiological interest elicited. 
(a) Aged 22, male, looked like a boy of 12 in physical development, the head 
was very small but no measurements were made ; the palpebral fissures were 
markedly slanting downwards and inwards and an internal strabismus was present ; 
the ears and palate were noi'mal ; the hands large and like those of a man. 
(b) A male infant aged one year with so marked a degree of microcephaly as 
to approach in type anencephaly, the resemblance being the more marked as the 
protuberant eyes and lips were like those characteristically found in anencephalic 
monsters (Plate II, (7)). 
(6) The following case is given at length (Plate II, (5) and (6)). 
Masimosya, aged 19 years (1911), a Yao of Chipi's village Zomba, exhibits a 
marked want of development of sexual organs (male) associated with large breasts. 
The general form of the body is that of a woman ; the attitude, voice, laugh, 
facial aspect and expression resemble those of a woman rather than of a man. 
The teeth are good, the body and limbs well developed and there is a fair deposit 
of subcutaneous fat. The breasts (see photo) are remarkable, being large, with 
large well-formed nipples and well-marked areolae, dark in colour. They have 
started to beome pendulous and resemble exactly those of a nulliparous woman 
of the same age. The abdomen is well formed and round the umbilicus there 
is a deposit of fat such as is commonly seen in women ; the pelvis appears large. 
There is some hair in the axillae but none on the flice or body. The pubes is 
rather pi'ominent resembling the female mons veneris and there is some develop- 
ment of hair upon it. The penis is very small, only two inches in length and of 
infantile type, the glans is covered by a prepuce and there is no deformity. The 
scrotum is veiy small indeed and only contains one testicle, the left, which can be 
felt as a small body about the size of a bean, three-eighths of an inch long. Tiie 
right testicle is not apparently present in the scrotum or inguinal canal. The 
scrotum shews no tendency to be divided nor is thex'e anything in the arrangement 
of the skin to suggest labia. No rectal examination was made. 
The subject is insane. He is fairly ti-actable and good-natured. He has 
delusions and hallucinations, it is reported, with various phases of the moon, when he 
is said to travel 15 miles to bathe in a certain stream, etc. He has tried to burn 
down some houses. I could get very little of his history. The mother and father 
are said to have been normal ; the only other child, a girl, was insane and died in 
the Central Asylum. The subject once cohabited with a woman who was to have been 
his wife, but she ran away the next day and I was unable to find out from him if 
he had any sexual desire. Such is a case which would have been called one of 
Partial Hermaphroditism but in tlie absence of further data I shall not discuss it. 
