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The mortality rate in two major series (Crawford et al, Ondra et al) has been 1 to 2 percent per year but as high as 6 to 9 percent in the immediate year following a rst hemorrhage The matter of an increased risk of AVM rupture during pregnancy has been disputed The weight of evidence suggests that the risk is not raised by pregnancy alone, but as with saccular aneurysm that parturition and Valsalva activity is always a source of concern Before rupture, chronic, recurrent headache may be a complaint; usually the headache is of a nondescript type, but a classic migraine with or without neurologic accompaniment occurs in about 10 percent of patients probably with greater frequency than it does in the general population.

Most of the lesions associated with migraine-like headaches lie in the parieto-occipital region of one cerebral hemisphere, and about two-thirds of such patients have a family history of migraine Huge AVMs may produce a slowly progressive neurologic de cit because of compression of neighboring structures by the.

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What if you want to validate the actual format of the entered data For example, what if you want to insist that a number be an integer Here s a new example, checkdatainteger.php, that asks the user to enter their age, and objects if it s not an integer. How does it check if the data entered is an integer The code uses the PHP intval function to turn the entered text into an integer and then converts it back to a string using the PHP strval function. If the result is the same as what was originally typed, then the entered data was an integer. If not, the data wasn t in integer form and we have to add an error message to the $errors array:

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Stiff-Man Syndrome This is a condition of persistent spasms, particularly of the proximal lower limbs and lumbar paraspinal muscles, forcing the patient eventually to lie helplessly in bed with the feet in equinus position and the legs extended It was originally described by Moersch and Woltman in 1956 as stiff-man syndrome Since then, many examples have been reported all over the world and the term stiff-person syndrome has been used to indicate its occurrence also in women The onset is insidious, usually in middle life, and men and women are affected equally No genetic predisposition is known At rst the stiffness and spasms are intermittent; then, gradually, they become more or less continuously active in the proximal limb and axial trunk muscles and increasingly painful The spasms impart a robotic appearance to walking and an exaggerated lumbar lordosis.

pump deliversa unit llow (Q, ) of a highly A 9.11 peristaltic viscous The network is depictedin Fig. P9.14. Every tluid. section the samelength and dianreter. has Thc massand I energybalancecan be simplitied to obtain thc in everypipc. Solve the following systemof equations in theflow in every stream. Q z + 2 Q t -2 Q : : O Qst2Qo 2Qr:0 3Q. 2Q(,:0

Attempts to move an affected part passively yield an almost rock-like immobility, perceptibly different from spasticity, paratonia, or extrapyramidal rigidity Muscles of respiration and swallowing and those of the face may be involved in the more advanced cases, but trismus, a common feature of tetanus, does not occur We have observed brief periods of cyanosis and respiratory arrest during episodes of intense spasm, and one of our patients died during such an episode Eye muscles are rarely affected Any noise or other sensory stimulus or attempted passive or voluntary movement may precipitate severely painful spasms of all the involved musculature The tendon re exes are normal if they can be tested The affected muscles, particularly the lumbar paraspinals and glutei are extremely taut when palpated It is this axial spasm that is most characteristic of the disease and gives rise to a characteristic lumbar lordosis over time.

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