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To the Editor:—
The review of therapy for cerebral vascular accidents by Dr. George A. Wolf Jr. in The Journal (172:562 [Feb. 6] 1960) is a fair statement of the indications, contraindications, and limiting factors of currently accepted regimens. I take issue, however, with the statement that treatment during the acute phase of a cerebral vascular accident is limited to the supportive measures listed in this article. I should like to call attention to another valuable approach to the management of selected patients with acute and subacute cerebrovascular accidents, particularly those with significant brain stem involvement: the use of the adrenocortical steroids. My observations in such patients for the past four years (J. Am. Geriatrics Soc. 6:686 [Sept.] 1958) may be summarized here by stating that dramatic improvement has been observed repeatedly in critically ill patients with clinically progressive cerebral infarction in whom it appeared that remissions either
Roberts HJ. TREATMENT OF CEREBRAL VASCULAR ACCIDENTS. JAMA. 1960;173(13):1507. doi:10.1001/jama.1960.03020310095031