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Pitfalls in Diagnosis

Pitfalls in Diagnosis To the Editor.— "To err in the diagnosis of a relievable disorder is a tragedy," is Dr. Aring's initial statement in his editorial comment (229:1879, 1974) on recent articles1-3 emphasizing the pitfalls in diagnosis of lesions about the junction of medulla and spinal cord. Dr. Boshes, discussing a case in The Journal (229:1518, 1974) of a middle-aged woman with chronic neurologic findings, failed to mention a treatable lesion at the foramen magnum in his differential diagnosis. The limited clinical description indicated no cranial nerve abnormality except a vague history of visual disturbance "ten years ago, the details of which she could not recall." The chorioretinitis described could be responsible. All the other neurological findings of tremor, weakness, pyramidal signs, unilateral proprioceptive loss, and neurogenic bladder could result from a high spinal lesion. The weight loss, fever, anemia, and other constitutional symptoms may be the sequelae of chronic urinary infection; http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Pitfalls in Diagnosis

Blumenthal, Harvey J.
JAMA , Volume 231 (4) – Jan 27, 1975
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Pitfalls in Diagnosis

Abstract



To the Editor.—
"To err in the diagnosis of a relievable disorder is a tragedy," is Dr. Aring's initial statement in his editorial comment (229:1879, 1974) on recent articles1-3 emphasizing the pitfalls in diagnosis of lesions about the junction of medulla and spinal cord. Dr. Boshes, discussing a case in The Journal (229:1518, 1974) of a middle-aged woman with chronic neurologic findings, failed to mention a treatable lesion at the foramen magnum in his differential...
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1975.03240160010003
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— "To err in the diagnosis of a relievable disorder is a tragedy," is Dr. Aring's initial statement in his editorial comment (229:1879, 1974) on recent articles1-3 emphasizing the pitfalls in diagnosis of lesions about the junction of medulla and spinal cord. Dr. Boshes, discussing a case in The Journal (229:1518, 1974) of a middle-aged woman with chronic neurologic findings, failed to mention a treatable lesion at the foramen magnum in his differential diagnosis. The limited clinical description indicated no cranial nerve abnormality except a vague history of visual disturbance "ten years ago, the details of which she could not recall." The chorioretinitis described could be responsible. All the other neurological findings of tremor, weakness, pyramidal signs, unilateral proprioceptive loss, and neurogenic bladder could result from a high spinal lesion. The weight loss, fever, anemia, and other constitutional symptoms may be the sequelae of chronic urinary infection;

Journal

JAMA – American Medical Association

Published: Jan 27, 1975

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