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A 14-year-old girl presented to the emergency room after mild head trauma. In the emergency room, she was noted to have scoliosis. Nearly 1.5 years after her initial presentation, the patient presented with numbness and tingling in her legs, back pain, weakness of her right leg, and constipation.


A 5-year-old boy with no significant past medical history presented to the emergency department with abdominal distention and pain. A laboratory evaluation showed elevated lactate dehydrogenase (LDH, 447 U/L] and alpha-fetoprotein (AFP, 6690 ng/mL].


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