text: Patients with<unk>  usually appear well. Physical examination of patients with<unk>  is usually remarkable for altered mental status, spasticity, and muscle weakness.
option_0: Ependymoma physical examination
option_1: Meningioma physical examination
option_2: Glioma physical examination
option_3: Subependymal giant cell astrocytoma physical examination
option_4: VIPoma physical examination
option_5: Neurofibroma physical examination
option_6: Brain Stem Gliomas MRI
option_7: Ependymoma MRI