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December 31, 1960

New Hope for Stroke Victims

JAMA. 1960;174(18):2245-2246. doi:10.1001/jama.1960.03030180065033

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It would be hard to quarrel with the logic of this book. The author notes that strokes due to hemorrhage of the brain are the third most common cause of death in the United States. Since accurate diagnosis must precede treatment, all the resources of electroencephalography, pneumoencephalography, and angiography should be available in every case. Since all diagnostic methods are unreliable and some extremely dangerous when attempted by uncritical, ill-trained personnel, it is hard to escape the author's conclusion that "regional stroke centers should be set up during the next few years with the sole purpose of devoting their facilities to urgent problems of cerebrovascular disease."

It is necessary, however, to find fault with the author's mode of presentation. In a book so clearly intended for the general public, the use of the pronoun "I" in describing the author's techniques seems inappropriate. There is also something painfully resembling the old

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