This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

L. P. Hinterbuchner, MD
Port Chester, NY

JAMA. 1990;264(3):336.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I enjoyed the article about normal-pressure hydrocephalus by Dr Friedland¹ and the editorial comments by Dr Clarfield.² While the term "treatable dementia" is fine, all of us who have been in the practice of neurology long enough will remember many failures of shunt procedures to balance each success. Given the pitfalls of diagnosis and especially the difficulty of selecting the most suitable patients for shunt procedures, it is curious that Drs Friedland and Clarfield omitted any mention of a scinticisternogram. Either a positive or a negative comment would have been useful. If negative, the potential candidates for shunt could be spared a spinal tap and the operator could avoid exposure to radioisotopes. If positive, surely the information could be confirmatory to the diagnosis or at least linked to eventual beneficial outcome? . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?