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May 26, 1962

Dr. Love's reply follows

Author Affiliations

Mayo Clinic, Rochester, Minn.

JAMA. 1962;180(8):702. doi:10.1001/jama.1962.03050210064023

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To the Editor:—  There are several articles which might be considered pertinent that Norstrom, Kernohan, and Love did not refer to. One, of course, cannot refer to all articles which might be related to a given subject about which he is writing. We, too, as many other neurosurgeons of considerable experience, have operated for tumors as high as the first cervical segment in patients whose chief complaint was sciatic pain. I fully agree with Dr. Scott, and it has been the practice of the neurologists and the neurosurgeons of the Mayo Clinic for many years, that all patients should have careful physical, neurological, and other pertinent examinations before carrying out a myelogram and operating for an intraspinal lesion. We have observed and operated on many patients with the so-called disk syndrome due to lesions other than those found within the spinal canal. Suffice it to mention twisted ovarian cysts, glomus

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