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Subsequent imaging revealed a contrast-enhancing intraspinal mass at the level of C4/C5, extending to the left side and encasing the left C5 nerve root up to the vertebral artery (Figure 1)

4 Diagnostic approach for long-chain fatty acid oxidation disorders 4.1 Laboratory testing When a patient is suspected of having an lcFAOD based on clinical signs and symptoms, the first laboratory test of choice is measurement of acylcarnitine levels in blood