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July 11, 1977

Diaphragmatic Paralysis-Reply

JAMA. 1977;238(2):128-129. doi:10.1001/jama.1977.03280020032013

We wish to thank Dr Korczyn for his thoughful criticism. He is correct. We were referring to the paper by Korczyn et al,1 and our reference No. 4 should have referred to that paper.1 There is an explanation, but no explanation is good enough for such an error.

We are aware of Dr Korczyn's various papers. We referred to his first paper on hemiplegia and diaphragmatic paralysis for our discussion and dismissed this as irrelevant to our situation since the children reported in our study had bilateral cortical injury and unilateral diaphragmatic paralysis. One of Dr Korczyn's2 patients with brain-stem infarction had vertigo and another had seventh nerve palsy. Though the nature of the injury and clinical picture in the children reported in our study suggest brain-stem damage of some kind, there were no nuclear lesions. Thus, our patients were different from the ones reported