—Dr Sugar's comments address primarily the terminology rather than the substance of the publication, but they deserve reply. In any living language some expressions that are not strictly grammatically correct are used to communicate ideas because they are simple and easily understood. Although often called "jargon," such expressions facilitate communication among individuals in a technical field. We believe that "metastatic jugular foramen syndrome" is such an expression. It is similar to the phrase "metastatic liver disease," a phrase found in innumerable publications and one that does not conjure up for the reader ectopic deposits of liver throughout the body.As Dr Sugar indicates, the Queckenstedt test was originally used to demonstrate a block of the cerebrospinal fluid circulation below the foramen magnum. However, this test has been used to indicate the presence of venous thrombosis since 1925.1 We erred in the use of the term "positive" to indicate a
Graus F, Slatkin NE. Accuracy of Medical Terminology-Reply. Arch Neurol. 1985;42(10):933. doi:10.1001/archneur.1985.04060090011005
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