CLINICAL AND PARA CLINICAL EVALUATION OFPERIPHERAL NERVES IN PATIENTS WITH HTLV1 ASSOCIATED MYELOPATHY

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ETEMADI M.M.; SAEIDI M.; SHAHAMI S.R.; KHAJEH DALOUEI M.; SASANNEZHAD P.

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Journal: Medical Journal of Mashhad University of Medical Sciences Year:2007 | Volume:49 | Issue:94 Page(s): 387-396

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Title

CLINICAL AND PARA CLINICAL EVALUATION OFPERIPHERAL NERVES IN PATIENTS WITH HTLV1 ASSOCIATED MYELOPATHY

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Keywords

HTLV1 NEUROPHYSIOLOGYQ3

HTLVI ASSOCIATED MYELOPATHYQ3

PERIPHERAL NEUROPATHYQ2

Abstract

Introduction: The main neurological manifestation of Human T-cell Lymphotropic Virus type 1 (HTLV-1) is spastic Paraparesis, of progressive nature, also known as HTLV-I Associated Myelopathy (HAM) or Tropical Spastic Paraparesis (TSP). Despite various CNS complications described in HAM/TSP a relatively little attention has been directed toward disorders of the peripheral nervous system (PNS). The aim of this study was evaluation of HAM/TSP patients about concomitant neuropathy by clinical and neurophysiologic methods.Methods and Material: In this descriptive Study 73 Patients with HTLVI ASSOCIATED MYELOPATHY in Neurology Clinic of Ghaem Hospital were assesed by clinical and neurophysiologic evaluations in 2002-2004. Questionnaire was completed for each patient, and then Median and Ulnar nerves from the upper extremity and Proneal, Tibial and Sural nerves from the lower extremity were evaluated by electrophysiological studies (NCV). Data was analyzed using descriptive statistics and frequency distribution tables.Results: 65.8% of patients were clinically suspected to neuropathy. In 54.8% of patients with HAM/TSP, there was concomitant peripheral nerve disease. Mononeuropathy in 15 (20.54%), multiplex mononeuropathy in 5 (6.8%), motor sensory polyneuropathy in 17 (23.3%), motor polyneuropathy in 2 (2.7%) and sensory polyneuropathy in 2(2.7%) of patients were present. Conclusion: According to this study electrophysiological compromise of the peripheral nerve is frequent in patients with HTLV-1 associated myelopathy. Furthermore, electrophysiological compromise could arise even when the patient did not present clinical manifestations denoting this kind of problem. Hence, the study of nerve conduction has to become a routine test for patients with HAM/TSP.

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APA: Copy

ETEMADI, M.M., SAEIDI, M., SHAHAMI, S.R., KHAJEH DALOUEI, M., & SASANNEZHAD, P.. (2007). CLINICAL AND PARA CLINICAL EVALUATION OFPERIPHERAL NERVES IN PATIENTS WITH HTLV1 ASSOCIATED MYELOPATHY. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 49(94), 387-396. SID. https://sid.ir/paper/51749/en

Vancouver: Copy

ETEMADI M.M., SAEIDI M., SHAHAMI S.R., KHAJEH DALOUEI M., SASANNEZHAD P.. CLINICAL AND PARA CLINICAL EVALUATION OFPERIPHERAL NERVES IN PATIENTS WITH HTLV1 ASSOCIATED MYELOPATHY. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2007;49(94):387-396. Available from: https://sid.ir/paper/51749/en

IEEE: Copy

M.M. ETEMADI, M. SAEIDI, S.R. SHAHAMI, M. KHAJEH DALOUEI, and P. SASANNEZHAD, “CLINICAL AND PARA CLINICAL EVALUATION OFPERIPHERAL NERVES IN PATIENTS WITH HTLV1 ASSOCIATED MYELOPATHY,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 49, no. 94, pp. 387–396, 2007, [Online]. Available: https://sid.ir/paper/51749/en

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