“…We appreciate Dr Dorta‐Contreras′ interest in our study and his insightful comments. As we pointed out in our original report [1], several hypotheses concerning the pathogenesis of CEON were suggested: toxic, nutritional, genetic and infectious. In general, the causes of tropical myeloneuropathic syndromes have been considered multifactorial, and this was also the case for CEON [2,3].…”