JOSEPH C. CHAN, M.D.; GEORGE T. HENSLEY, M.D.; LEE B. MOSKOWITZ, M.D.
To the editor: We read with interest the report of Wong and associates (1) and would like to comment on one of their recommendations and offer our experiences on brain biopsies of similar cases.
The authors recommended that serial cerebrospinal fluid specimens be obtained for serologic testing. We disagree because of the potential danger involved in obtaining cerebrospinal fluid from patients wth central nervous system mass lesions and increased intracranial pressure. Cerebrospinal fluid should probably be obtained initially if it can yield a definitive diagnosis, but certainly not serially. Patient 1 in their report showed a rise in cerebrospinal fluid
CHAN JC, HENSLEY GT, MOSKOWITZ LB. Toxoplasmosis in the Central Nervous System. Ann Intern Med. ;100:615–616. doi: 10.7326/0003-4819-100-4-615_3
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Published: Ann Intern Med. 1984;100(4):615-616.
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