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May 31, 1924


JAMA. 1924;82(22):1801. doi:10.1001/jama.1924.02650480057037

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To the Editor:  —The observation of a patient during a cerebral angiospasm by Dr. Finesilver, as reported in The Journal, May 17, page 1608, is interesting, but is incomplete; and the conclusion, that "the whole picture is that of cerebral angiospasm of the vessels of the right side of the brain" is not justified by the facts stated. Is one justified in subscribing to the theory of angiospasm without giving due consideration to the fact that maintenance of the cerebral circulation is dependent on a normal circulating medium at an effective pressure and rate of flow in normal vessels? Why assume that the phenomena observed were caused by a spasm when it was observed that "the heart, while regular before, now showed many extrasystoles; it was feeble, and the rate was 84 a minute"? The systolic pressure before, during and after the attack is not reported.

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