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October 1985

Accuracy of Medical Terminology

Author Affiliations

Professor Emeritus, Neurosurgery University of Illinois College of Medicine 1853 W Polk St Chicago, IL 60612

Arch Neurol. 1985;42(10):932-933. doi:10.1001/archneur.1985.04060090010004

To the Editor.  —My attention was drawn to the article by Drs Graus and Slatkin1 by its title: "Papilledema in the Metastatic Jugular Foramen Syndrome." I had immediate visions of a skull base with numerous jugular foramina in strange places—not quite as ridiculous as a part of a recent article in JAMA about genitourinary infections in women, which stated: "Twenty women were cultured...." That brought an image of huge Petri dishes with a woman (nude?) reclining on the bed of agar in each.Having read the article about papilledema, I was then struck by the sentence: "Queckenstedt's sign (Tobey-Ayer modification) was present on the right, with gentle compression of the jugular vein causing an almost immediate increase of the CSF [cerebrospinal fluid] pressure to 450 mm H2O."Actually, Queckenstedt2 called his maneuver a "Stauversuch," literally a dam (of water) test. In the English translation of his