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6 weeks (95% CI = 18.2-34.9), males with EDSS 6 and ARR 1 31.0 weeks (95% CI = 25.3-36.8), females with EDSS 6 and ARR ⩾ 1 44.8 weeks (95% CI = 24.5-65.1), and females with EDSS ⩾ 6 and ARR 1 54.3 weeks (95% CI = 47.2-61.5). Pre-treatment EDSS and ARR are the most important determinants of therapeutic lag. Pre-treatment EDSS and ARR are the most important determinants of therapeutic lag. Thoracic duct chylous fistula is a rare complication following neck surgery, especially for malignant disease. Despite its low inci