Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
In Reply.—The highest reward for an essayist
is that a piece of writing that emanated from his or her quill attracts attention.
We were thus thrilled to receive 2 scholarly remarks regarding our article
on an old Dutch autopsy report of a cystic tumor in the chiasmal region that
had caused blindness and diabetes insipidus.
Dr Dirckx draws our attention to the Greek adverb anarrhopos, which Pauw used when trying to find an explanation for
his observations. As Dirckx notes, in Greek writings anarrhopia referred to a tendency of a humor to rise within the body. We fully
concur with his interpretation that Pauw thought that, due to an abnormality
of the kidneys, fluid had regurgitated back up to the head. After all, this
was what Pauw explicitly wrote in his Observationes
Kivelä T, Pelkonen R, Heiskanen O. The 16th-Century Observations of Pieter Pauw: Balancing Humors and Councils—Reply. JAMA. 1998;279(15):1173-1174. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-15-jbk0415