{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T04:29:28Z","timestamp":1786508968402,"version":"build-2736575974"},"reference-count":13,"publisher":"Walter de Gruyter GmbH","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Objectives<\/jats:title>\n We describe a case of diagnostic error arising from unquestioned acceptance of a longstanding, inherited diagnosis.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n A patient developed CSF hypotension syndrome following minor trauma. A sacral cyst on imaging was attributed to a Tarlov cyst documented incidentally a decade earlier. Despite progressive symptoms, exhausted conservative therapy, and a radiological report explicitly questioning the diagnosis, the recommended post-myelography CT was twice deferred. The correct diagnosis\u00a0\u2013\u00a0a meningomyelocele causing a traumatic CSF leak\u00a0\u2013\u00a0was eventually established through external specialist consultation and treated surgically.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Diagnostic momentum, a non-integrated radiological correction signal, and the low cognitive accessibility of rare alternative possibilities combined to delay recognition of the meningomyelocele. Clinicians should not consider prior diagnostic labels as invariably true or well established. Many of these were simply never fully verified or confirmed over time, and these \u2018inherited\u2019 diagnoses are a risk factor for diagnostic\u00a0error.<\/jats:p>\n <\/jats:sec>","DOI":"10.1515\/dx-2026-0101","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T03:55:42Z","timestamp":1786506942000},"source":"Crossref","is-referenced-by-count":0,"title":["The inherited diagnosis and diagnostic error: a case report"],"prefix":"10.1515","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7616-5588","authenticated-orcid":false,"given":"Matthias","family":"Blume","sequence":"first","affiliation":[{"name":"Medizinische Universitat Lausitz\u00a0\u2013\u00a0Carl Thiem , Cottbus , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"2026081203553576696_j_dx-2026-0101_ref_001","unstructured":"Deutsche Gesellschaft f\u00fcr Neurologie. S1-Leitlinie Diagnostik und Therapie des postpunktionellen und spontanen Liquorunterdruck-Syndroms. Version 5.0, 28.06.2023. AWMF-Registernummer 030\/114. Available at: www.awmf.org. (German clinical guideline; consistent with international diagnostic and therapeutic standards for CSF hypotension syndrome.)."},{"key":"2026081203553576696_j_dx-2026-0101_ref_002","unstructured":"Kahneman, D Thinking, Fast and Slow. Farrar, Straus and Giroux; 2011."},{"key":"2026081203553576696_j_dx-2026-0101_ref_003","unstructured":"Groopman, J. How Doctors Think. Houghton Mifflin; 2007."},{"key":"2026081203553576696_j_dx-2026-0101_ref_004","unstructured":"Mamede, S, Schmidt, HG, Rikers, RM, Penaforte, JC, Coelho-Filho, JM, Gog, T. Anchoring bias in medical decision-making. Med Educ 2010;44:959\u201366."},{"key":"2026081203553576696_j_dx-2026-0101_ref_005","doi-asserted-by":"crossref","unstructured":"Croskerry, P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med 2003;78:775\u201380. https:\/\/doi.org\/10.1097\/00001888-200308000-00003.","DOI":"10.1097\/00001888-200308000-00003"},{"key":"2026081203553576696_j_dx-2026-0101_ref_006","doi-asserted-by":"crossref","unstructured":"Croskerry, P. From mindless to mindful practice\u00a0\u2013\u00a0cognitive bias and clinical decision making. N\u00a0Engl J Med 2013;368:2445\u20138. https:\/\/doi.org\/10.1056\/nejmp1303712.","DOI":"10.1056\/NEJMp1303712"},{"key":"2026081203553576696_j_dx-2026-0101_ref_007","unstructured":"Schiff, GD, Kim, S, Abrams, R, Cosby, K, Lambert, BL, Elstein, AS, et al.. Diagnosing diagnosis errors: lessons from a multi-institutional collaborative project. In: Henriksen, K, Battles, JB, Marks, ES, Lewin, DI, editors. Advances in patient safety: from research to implementation. Rockville (MD): Agency for Healthcare Research and Quality; 2005, vol 2:255\u201378 pp."},{"key":"2026081203553576696_j_dx-2026-0101_ref_008","doi-asserted-by":"crossref","unstructured":"Balogh, EP, Miller, BT, Ball, JR, editors. Improving diagnosis in health care. Washington DC: National Academies Press; 2015.","DOI":"10.17226\/21794"},{"key":"2026081203553576696_j_dx-2026-0101_ref_009","doi-asserted-by":"crossref","unstructured":"Schiff, GD, Hasan, O, Kim, S, Abrams, R, Cosby, K, Lambert, BL, et al.. Diagnostic error in medicine: analysis of 583\u00a0physician-reported errors. Arch Intern Med 2009;169:1881\u20137. https:\/\/doi.org\/10.1001\/archinternmed.2009.333.","DOI":"10.1001\/archinternmed.2009.333"},{"key":"2026081203553576696_j_dx-2026-0101_ref_010","doi-asserted-by":"crossref","unstructured":"Singh, H. Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis. Joint Comm J Qual Patient Saf 2014;40:99\u2013101.","DOI":"10.1016\/S1553-7250(14)40012-6"},{"key":"2026081203553576696_j_dx-2026-0101_ref_011","doi-asserted-by":"crossref","unstructured":"Graber, ML, Franklin, N, Gordon, R. Diagnostic error in internal medicine. Arch Intern Med 2005;165:1493\u20139. https:\/\/doi.org\/10.1001\/archinte.165.13.1493.","DOI":"10.1001\/archinte.165.13.1493"},{"key":"2026081203553576696_j_dx-2026-0101_ref_012","doi-asserted-by":"crossref","unstructured":"Singh, H, Meyer, AND, Thomas, EJ, Onakpoya, I, Thompson, MJ. The global burden of diagnostic errors in primary care. BMJ Qual Saf 2017;26:484\u201394. https:\/\/doi.org\/10.1136\/bmjqs-2016-005401.","DOI":"10.1136\/bmjqs-2016-005401"},{"key":"2026081203553576696_j_dx-2026-0101_ref_013","doi-asserted-by":"crossref","unstructured":"Jones, S, Howard, L, Thornicroft, G. Diagnostic overshadowing: worse physical health care for people with mental illness. Acta Psychiatr Scand 2008;118:169\u201371. https:\/\/doi.org\/10.1111\/j.1600-0447.2008.01211.x.","DOI":"10.1111\/j.1600-0447.2008.01211.x"}],"container-title":["Diagnosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/dx-2026-0101\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/dx-2026-0101\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T03:55:44Z","timestamp":1786506944000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/dx-2026-0101\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,13]]},"references-count":13,"alternative-id":["10.1515\/dx-2026-0101"],"URL":"https:\/\/doi.org\/10.1515\/dx-2026-0101","relation":{},"ISSN":["2194-8011","2194-802X"],"issn-type":[{"value":"2194-8011","type":"print"},{"value":"2194-802X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,13]]}}}