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Article
May 1996

Blind Drive-Reply

Author Affiliations

Midwest Eye Institute Methodist Hospital Plaza N 201 Pennsylvania Pkwy Indianapolis, IN 46280

Arch Neurol. 1996;53(5):401-402. doi:10.1001/archneur.1996.00550050023006

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Abstract

In reply  We thank Dr Lee for his interest in our article and for his comments regarding the appropriate evaluation of patients with pseudotumor cerebri syndrome.The patients in our series in whom sinus obstruction was iatrogenic (group 3) generally directly underwent scanning with magnetic resonance imaging (MRI) and did not have a computed tomographic (CT) scan, since the vascular mechanism was suspected. In the group with a compressive lesion (group 2), only one patient had a diagnosis made with an MRI. A CT scan obtained subsequently in this patient was also adequate to visualize the parasagittal meningioma occluding his sagittal sinus. The group of 10 patients with noncompressive thrombosis (group 1) is of more interest in this regard. At least six of the 10 patients in this group did have a CT scan as well as MRI and in each case results of the CT scans were interpreted as

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