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Regular Departments
May 1973

Diagnosing Acoustic Neuroma-Reply

Arch Otolaryngol. 1973;97(5):431. doi:10.1001/archotol.1973.00780010443028

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I am pleased to respond to Dr. Pulec's letter.

Dr. Pulec did indeed report the use of electrical elicitation of the blink reflex but in a paper devoted by title to surgical technique. Hence, we did not find this reference in a search of the literature. However, our paper and preceding ones refer generously to the work of Kugelberg and others which laid the foundation for these studies, since then considerably amplified by Kimura in our laboratory and elsewhere. Dr. Pulec's paper did not include bibliographic references, but a previous paper of his on photographic methods refers to some of the same work which we alluded to. His description of the electrical technique scarecely goes beyond a statement that he did employ it.

Much more important is the matter of the usefulness of this test. I would not take issue with the primary importance of the refined neuro-oto- logic and