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March 23, 1912

A Thirty-Day Rhythm in Apoplexy

JAMA. 1912;LVIII(12):879. doi:10.1001/jama.1912.04260030277025

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To the Editor:  —In The Journal for February 3, p. 330, there appears an article under the catchy title given above. The first paragraph of this article makes it clear that "that type of cerebral hemorrhage which we designate as apoplexy" is to be considered, and in several places further along in the article the fact that cerebral hemorrhage, not embolism or thrombosis (and not cerebral arteriosclerosis with arteriospasm), is the lesion the author is investigating.From the notes of cases which Dr. Hurst offers, it appears very doubtful whether he was dealing with cases of cerebral hemorrhage at all. Before it becomes profitable to draw on the imagination for the evolution of a theory to explain a fact, the existence of the fact has to be established, and in this first requirement the author of the above article sadly fails. The case notes he offers in proof of his

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