Abstract
In reply: It is usually possible through a computerized search of the literature to determine what has and has not been published. Davis' report on measuring syrinx pressures was not heralded by the title of his article(1) and lacked a Key Words list, thereby eluding a diligent and exhaustive literature search. We apologize for the oversight. Davis is correct that the treatment of choice for syringomyelia is to correct the cause when possible. However, his recommendations regarding the use of valved and valveless shunts are highly speculative, and the readers are advised to regard them with caution. There is much to be learned about the pathophysiology of intramedullary pressure in syringomyelia. We agree with Tator (2), who encourages neurosurgeons to measure syrinx pressures at the time of surgery as a means to better understand the relationship of intramedullary pressure and clinical outcome. Thomas H. Milhorat Anthony L. Capocelli, Jr. Rene M. Kotzen Brooklyn, New York
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