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Winter was the peak season for cerebral embolic strokes.Significantly more stroke events occurred on Mondays than any other day,particularly for working men.For intracerebral hemorrhages,a third happened on Mondays in both genders.The time of day when strokes most frequently occurred was between 8 AM and noon.This pattern was true for all stroke subtypes.This pattern persisted when individuals whose onset occurred while sleeping or on awakening were excluded.Stroke in general occurred more at home,with hemorrhagic strokes occurring outside the home and cerebral embolisms in the hospital more than other subtypes.Temporal patterns of stroke onset were observed for season,day of the week,time of day,and place in a community-based population.These findings suggest that there are periods of increased risk of stroke that may be amenable to preventive strategies. |
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cerebrovascular accident cerebrovascular accident,circadian rhythm cerebrovascular accident,place of onset cerebrovascular accident,seasonal variation cerebrovascular accident,time of onset circadian rhythm epidemiology of neurology review article
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