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44 year old male presented with back pain, spastic quadriparesis and upper and lower extremity sensory deficit

IMG 1 of 2

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IMG 2 of 2

Thumbnail imageThumbnail imageDX= Cervical intramedullary arteriovenous malformation (AVM)
Ddx=Intramedullary AVMs must be differentiated mainly from spinal cord tumors. In the latter, MR shows cord enlargement, abnormally high T2 signal, and gadolinium enhancement at the site of the tumor

These signals are relayed buying clomid online safe which then is by a number of such as medial preoptic and paraventricular nulcei.