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Comment & Response
December 2015

Diagnosing Lymphomatosis Cerebri

Author Affiliations
  • 1Division of Neurology, Department of Medicine, Neuroscience Associates, Greenville Health System, Greenville, South Carolina
JAMA Neurol. 2015;72(12):1536. doi:10.1001/jamaneurol.2015.2672

To the Editor I read with interest the article in JAMA Neurology by Hatanpaa et al,1 who presented a case of lymphomatosis cerebri. It can be a tough condition to sort out but I have serious concerns about the presentation.

First, a patient with spasms and tremors in her right hand and forearm being diagnosed as having carpal tunnel syndrome and undergoing surgery is, in itself, more than a trifle odd. Whoever has heard that tremors and spasms are caused by carpal tunnel syndrome? I guess in medicine anything is possible but I reckon that a computer (if IBM’s Watson platform was around) would not take that route. No wonder that one day, Watson will likely take over most of our routine cases. Watson is clearly the winner. Insurance companies will insist that cases are run by Watson, just to be sure, in the future.

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