melanotic progonoma neuroectodermal tumor of infancy: discussion of a case and a review of the imaging findings PDF) Melanotic Progonoma.pdf

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They rarely do without intervention

Psychiatry 11 , 542 (2021)

Around 30% of patients start with bulbar symptoms, which affect the muscles used for speaking and swallowing, leading to problems like slurred speech (dysarthria), trouble swallowing (dysphagia), and twitching of the tongue muscles ( The disease usually begins in one part of the body and spreads gradually, leading to increasing muscle weakness

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