August 25, 1956

Management of Strokes

JAMA. 1956;161(17):1715. doi:10.1001/jama.1956.02970170111026

The title of this small manual has been well chosen. The term "strokes" is preferred to "cerebral vascular accidents," which is confusing, especially from the medicolegal viewpoint. The book itself is somewhat pedestrian and outdated. While it gives many interesting and practical points that should be useful to general practitioners, there is a striking lack of information regarding the recent advances in the field. The author is apparently still hesitant about the extension of indications for examination of the spinal fluid. This was somewhat of an academic matter in the past; but with modern therapeutic opportunities the differential diagnosis of strokes should be improved, and the spinal tap is an important step in this direction. The risk attending the removal of 5 to 10 cc. of fluid slowly is slight, and the information gained may be highly significant. There is little emphasis on the syndromes of basilar or carotid artery

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