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In reply: a negative non-contrast CT is insufficient to exclude a cerebellar infarct
  1. Maggie Vincent,
  2. Devon Stride
  1. Emergency Medicine, McMaster University, Hamilton, Ontario, Canada
  1. Correspondence to Dr Maggie Vincent, Emergency Medicine, McMaster University, Hamilton, ON L8L 2X2, Canada; maggie.vincent{at}

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Dear Editor,

We read Dr Edlow’s comments on the Bestbet ‘Ruling out cerebellar infarct in the emergency department with CT scan’ with interest. We thank Dr Edlow for his helpful input and acknowledge his expertise on this topic. We agree that strict application of some methods of ‘evidence-based’ medicine can indeed fail to provide the whole picture, especially when clinical techniques rely on good evidence of mechanisms or other ‘indirect’ evidence, rather than population level clinical study alone. What Dr …

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  • Handling editor Ellen J Weber

  • Contributors The above authors are the sole authors of this letter. In the original paper, MV conducted the literature review and DS reviewed the findings and contributed to the final write up. Both MV and DS wrote this response letter.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

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