How to distinguish crowned dens syndrome from acute meningitis?

Author reply to “How to distinguish crowned dens syndrome from acute meningitis?”

“…To the Editor, We thank the reader for his knowledgeable comments on our study. 1,2 We were asked to disclose how the indication for lumbar puncture was determined during this study. Unfortunately, there was no uniform indication for lumbar puncture in this study, neither was data collected on the reason the physician performed the lumbar puncture in each case.…”