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This motor deficit improved with corticotherapy. After nine months the patient went back to his home country and subsequently lost to follow-up. CONCLUSIONS Giant MPNSTs of the scalp are highly aggressive lesions that should primarily be treated in a surgical fashion. Although adjuvant radiotherapy has been used routinely for local tumor control there is uncertainty about its advantages. BACKGROUND Complications of ventriculoperitoneal (VP) shunts include migration into various anatomic compartments, and even extrusion through tissue laye

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