Abstract
The neurologic and psychiatric complications of endocarditis are rather well known, but awareness of the high incidence of neuropathologic changes and the effort to surmise their existence on clinical evidence seem to be lacking. The various types of endocarditis have been delineated, and it appears that they may be correlated with the various types of encephalic injury. Additional clinical observation will be necessary before it can be decided to what extent dominant neuropsychiatric traits may be similarly correlated. NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH ACUTE ARTICULAR RHEUMATISM AND WITH CHOREA It is well known that acute simple endocarditis, or rheumatic endocarditis, and acute articular rheumatism are closely related. Cerebral involvement with the latter disease was said in the middle of the nineteenth century to have occurred in about 4.8 per cent of cases and to have had almost always a fatal termination. If the acute articular rheumatism is otherwise uncomplicated, the association
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