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October 1970

Stroke in Israel 1957-1961: Epidemiological, Clinical, Rehabilitation and Psycho-social Aspects.

Arch Neurol. 1970;23(4):382-383. doi:10.1001/archneur.1970.00480280096015

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The state of Israel provides a unique human laboratory for the study of disease, with inhabitants of varied geographic and ethnic origin and with excellent medical care facilities available to all. With this in mind, Adler and co-workers have put forth a book whose several divisions are summarized in its title.

The epidemiologic portion consists of an assessment of records of patients who had been hospitalized throughout Israel and were noted to be hemiplegic or hemiparetic.n

There are no population-based rates. Diagnostic categories used were embolism, thrombosis, hemorrhage, and tumor. Relative frequencies for these causes of hemiplegia differed notably between those which were "confirmed" by autopsy, angiography, or operation, and those which were not. The differences seem to me more likely to reflect causes for old vs young hemiplegics and the varied case fatality rates rather than support for the authors' conclusion that "thromboses are diagnosed more and hemorrhages less

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