We confirm that there was a big Epidural abscess as cause for spinal compression but due to limitation of space and words all MRI sequence could not be shown.
We also confirm that the blue arrow was to show the Kyphosis which was obvious to the eye.
We agree with Dr Mackey's suggestion that involving a 'friendly' radiologist in the publication would have been helpful, but this was not available to us. We therefore went by the formal report.
Kind regards
Professor Rawal
Competing interests:
No competing interests
16 January 2020
Jeewan Rawal
consultant paediatrician
Barking, Havering and Redbridge University Hospitals NHS Trust
Rapid Response:
Re: Acute paraplegia in a healthy child
Dear Editor
We are grateful for Dr Mackey's comments.
We confirm that there was a big Epidural abscess as cause for spinal compression but due to limitation of space and words all MRI sequence could not be shown.
We also confirm that the blue arrow was to show the Kyphosis which was obvious to the eye.
We agree with Dr Mackey's suggestion that involving a 'friendly' radiologist in the publication would have been helpful, but this was not available to us. We therefore went by the formal report.
Kind regards
Professor Rawal
Competing interests: No competing interests