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It is important to keep in mindthat presentations may be asymmetric or may appear as acentral cord syndrome with possible associated syringo-myelia, with sensory deficits in a cape-like distribution.Nonstructural causes of myelopathy can be caused bydemyelinating diseases such as multiple sclerosis, vita-min B12 deficiency, trauma to the spinal cord, vitamin Edeficiency, post-radiation, herpes zoster infection, or cop-per deficiency.

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They proposed that GERD manifestations be divided into esopha-geal and extraesophageal syndromes. Some objective data can be charted or graphed to provide a quick picture ofprogress. Beneficial effects of CHEIs may be sustained for atleast 2 years of treatment (Grace et al., 2001), and suddenwithdrawal may precipitate marked deterioration in neu-ropsychiatric symptoms (Minett et al., 2003)

Beneficial effects of CHEIs may be sustained for atleast 2 years of treatment (Grace et al., 2001), and suddenwithdrawal may precipitate marked deterioration in neu-ropsychiatric symptoms (Minett et al., 2003).

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