Summary
The suggestion that the Evans ratio, the ratio of the transverse diameter of the anterior horns of the lateral ventricles to the internal diameter of the skull, was a more significant quantity than the ventricular measurement alone was based on a calculation error. The value of this ratio and other such ratios involving linear skull measurements is unproven.
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References
Evans, W.A., Jr.: An encephalographic ratio for estimating ventricular enlargement and cerebral atrophy. Arch. Neurol. Psychiat. 47, 931–937 (1942)
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Zatz, L.M. The Evans ratio for ventricular size: A calculation error. Neuroradiology 18, 81 (1979). https://doi.org/10.1007/BF00344827
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DOI: https://doi.org/10.1007/BF00344827