NEUROLOGICAL SIGNS AND SYMPTOMS IN PATIENTS WITH HTLV-1 MYELOPATHY

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HOMAM M.; MEHDINEZHAD M.; ALEHASHEMI A.; CHAYCHI S.

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Journal: JOURNAL OF MEDICAL SCIENCE OF ISLAMIC AZAD UNIVERSITY OF MASHHAD Year:2009 | Volume:4 | Issue:4 (16) Page(s): 221-230

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Title

NEUROLOGICAL SIGNS AND SYMPTOMS IN PATIENTS WITH HTLV-1 MYELOPATHY

Author(s)

HOMAM M. | MEHDINEZHAD M. | ALEHASHEMI A. | CHAYCHI S. | Issue Writer Certificate

Keywords

HTLV-1Q3

HTLV-1 ASSOCIATED MYLOPATHYQ3

HUMAN ASSOCIATED MYLOPATHY/ TROPICAL SPASTIC PARAPARESISQ3

MODIFIED ASWORTH SCALEQ3

Abstract

Introduction: Myelopathy due to Human T Lymphocyte virus Type 1or Human associated myelopathy (Tropical Spastic paraparesis) is one of the clinical manifestations of this virus which is endemic in specific areas including the North-Eastern part of Iran. The aim of this case- control study was to evaluate the neurological symptoms and signs among patients who had already been identified as affected by the virus.Materials and Methods: The patients’ family background and medical history in terms of HTlV1 infection were evaluated. In addition, through administrating a laboratory investigation, sensory examination was used to detect any pain, vibration and/or priprioception in both upper and lower extremities. The evaluation of motor system was done according to force (0 to 5 on the basis of Medical Research Council Power Classification) and tonicity (based on the MODIFIED ASWORTH SCALE). Deep tendon reflexes as well as sphincter complaints were also investigated.Results: Among 15 cases (3 males, 12 females), the average age was 50.6±16.5 years. The average duration of symptomatic was found to be 5.6±4.1 years. Two patients reported to have background history of Htlv1 infection. The most common complaints by the patients were: paresthesia (53.3%), muscular weakness (33.3%) and urination frequency (13.3%). None of the patients had atrophy. Symmetrical increase in tonicity was detected in both extremities; however, it was predominant in the lower ones (P=0.02).Conclusion: Urinary complaints may be the first clinical presentation of HAM/TSP. The most common sensory sign in our patients was paresthesia. We suggest that all the patients with problems in symmetric sensory and/or motor system who are especially at risk of being exposed to HTLV1 infection as well as those who complain about urinary problems should be checked for HAM/TSP.

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APA: Copy

HOMAM, M., MEHDINEZHAD, M., ALEHASHEMI, A., & CHAYCHI, S.. (2009). NEUROLOGICAL SIGNS AND SYMPTOMS IN PATIENTS WITH HTLV-1 MYELOPATHY. JOURNAL OF MEDICAL SCIENCE OF ISLAMIC AZAD UNIVERSITY OF MASHHAD, 4(4 (16)), 221-230. SID. https://sid.ir/paper/194244/en

Vancouver: Copy

HOMAM M., MEHDINEZHAD M., ALEHASHEMI A., CHAYCHI S.. NEUROLOGICAL SIGNS AND SYMPTOMS IN PATIENTS WITH HTLV-1 MYELOPATHY. JOURNAL OF MEDICAL SCIENCE OF ISLAMIC AZAD UNIVERSITY OF MASHHAD[Internet]. 2009;4(4 (16)):221-230. Available from: https://sid.ir/paper/194244/en

IEEE: Copy

M. HOMAM, M. MEHDINEZHAD, A. ALEHASHEMI, and S. CHAYCHI, “NEUROLOGICAL SIGNS AND SYMPTOMS IN PATIENTS WITH HTLV-1 MYELOPATHY,” JOURNAL OF MEDICAL SCIENCE OF ISLAMIC AZAD UNIVERSITY OF MASHHAD, vol. 4, no. 4 (16), pp. 221–230, 2009, [Online]. Available: https://sid.ir/paper/194244/en

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