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June 27, 1953


JAMA. 1953;152(9):870-871. doi:10.1001/jama.1953.03690090094028

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To the Editor:  —In their article "The Evaluation of Stellate Ganglion Block for Acute Focal Cerebral Infarcts" (J. A. M. A.151:438 [Feb. 7] 1953), Millikan, Lundy, and Smith were unable to report any beneficial effects of stellate ganglion blocks in cases of acute cerebral vascular accidents as we did some years ago (J. A. M. A.136:659 [March 6] 1948). Their study consisted of 27 patients in whom treatment included stellate ganglion blocks (we prefer the term cervical sympathetic block) and 60 in whom treatment was the same except that it did not include the blocks. They draw conclusions from a comparison of both groups. In their series, Millikan and associates not only obtained poor results but also observed that, in some of the patients who received blocks, the results were more unfavorable than in those who did not. We have treated a number of patients without

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