particularly in the neck. Carotid angiography may be indicated for assessing cerebral cross-circulation if there is any question that surgery might compromise the internal carotid artery.
Management lies between a conservative approach with the use of serial imaging or surgery. Recommendations for treatment relies on the age of the patient and their general medical health, the size of the tumor, whether it is creating any mass effect in the posterior fossa and the presence or absence of cranial neuropathies. Certainly, older patients do not tolerate the rapid change in lower cranial nerve function that surgery may produce, and are therefore at risk of developing serious pulmonary complications from laryngeal aspiration. In this age group, patients are more likely to adapt to these lower cranial neuropathies if they occur slowly as the disease progresses; a conservative policy may therefore be the most appropriate.
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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.