Clinical Presentation

Intramedullary spinal cord tumors may remain asymptomatic for a long time and may increase to a considerable size before they are detected. The onset of symptoms is often insidious and they may be present for months or even years before the diagnosis is established. Symptoms may also appear at the time of a trivial injury. Not infrequently, exacerbations and remissions occur. A common early symptom is back or neck pain, occurring in up to two-thirds of patients. The pain may be either diffuse, in

Fig. 29.5. a Pre-operative, b immediate post-operative and c3-year follow-up sagittal T1 contrast-enhanced images of a large cervical intramedullary ependymoma.

Fig. 29.5. a Pre-operative, b immediate post-operative and c3-year follow-up sagittal T1 contrast-enhanced images of a large cervical intramedullary ependymoma.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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