Syringohydromyelia or HTLV-I-associated myelopathy/tropical spastic paraparesis: a diagnostic challenge (case report)
Human T-cell lymphotropic virus type I (HTLV-I) associated myelopathy / tropical spastic paraparesis (HAM/TSP) is the most common chronic myelopathy in Brazil. We present the case of a 53 year old man that fulfilled the diagnostic criteria for HAM/TSP but had at the magnetic resonance imaging (MRI)...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
1999-06-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1999000200019&tlng=en |
| _version_ | 1798019471677325312 |
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| author | ABELARDO DE QUEIROZ-CAMPOS ARAÚJO ANA CLAÚDIA CELESTINO BEZERRA LEITE ANDRÉ LUIZ DOS ANJOS DE OLIVEIRA CRISTIANE RIBEIRO DE ALMEIDA AFONSO JULIANA PIES |
| author_facet | ABELARDO DE QUEIROZ-CAMPOS ARAÚJO ANA CLAÚDIA CELESTINO BEZERRA LEITE ANDRÉ LUIZ DOS ANJOS DE OLIVEIRA CRISTIANE RIBEIRO DE ALMEIDA AFONSO JULIANA PIES |
| author_sort | ABELARDO DE QUEIROZ-CAMPOS ARAÚJO |
| collection | DOAJ |
| description | Human T-cell lymphotropic virus type I (HTLV-I) associated myelopathy / tropical spastic paraparesis (HAM/TSP) is the most common chronic myelopathy in Brazil. We present the case of a 53 year old man that fulfilled the diagnostic criteria for HAM/TSP but had at the magnetic resonance imaging (MRI) of the spinal cord evidences of syringohydromyelia at the C6-C7 and D2-D7 levels along with Chiari type 1 malformation. The clinical picture was more typical of HAM/TSP than of syringohydromyelia, which was probably asymptomatic. The present case clearly demonstrates that serology and neuroimaging should be always used together. We conclude that, specially in places where HTLV-I is endemic, every patient with a spastic paraparesis, even with a radiological picture suggestive of a structural spinal cord lesion, should have a screening test for HTLV-I. The clinical picture must dictate the final direction of the diagnosis. |
| first_indexed | 2024-04-11T16:41:11Z |
| format | Article |
| id | doaj.art-0eb8bf45b0034f44a3387be033023b30 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-04-11T16:41:11Z |
| publishDate | 1999-06-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-0eb8bf45b0034f44a3387be033023b302022-12-22T04:13:40ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42271999-06-01572A28428710.1590/S0004-282X1999000200019Syringohydromyelia or HTLV-I-associated myelopathy/tropical spastic paraparesis: a diagnostic challenge (case report)ABELARDO DE QUEIROZ-CAMPOS ARAÚJO0ANA CLAÚDIA CELESTINO BEZERRA LEITE1ANDRÉ LUIZ DOS ANJOS DE OLIVEIRACRISTIANE RIBEIRO DE ALMEIDA AFONSO2JULIANA PIES3Fundação Oswaldo CruzFundação Oswaldo CruzFundação Oswaldo CruzFundação Oswaldo CruzHuman T-cell lymphotropic virus type I (HTLV-I) associated myelopathy / tropical spastic paraparesis (HAM/TSP) is the most common chronic myelopathy in Brazil. We present the case of a 53 year old man that fulfilled the diagnostic criteria for HAM/TSP but had at the magnetic resonance imaging (MRI) of the spinal cord evidences of syringohydromyelia at the C6-C7 and D2-D7 levels along with Chiari type 1 malformation. The clinical picture was more typical of HAM/TSP than of syringohydromyelia, which was probably asymptomatic. The present case clearly demonstrates that serology and neuroimaging should be always used together. We conclude that, specially in places where HTLV-I is endemic, every patient with a spastic paraparesis, even with a radiological picture suggestive of a structural spinal cord lesion, should have a screening test for HTLV-I. The clinical picture must dictate the final direction of the diagnosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1999000200019&tlng=enHTLV-Itropical spastic paraparesissyringomyeliahydromyeliamagnetic resonance imagingdifferential diagnosis |
| spellingShingle | ABELARDO DE QUEIROZ-CAMPOS ARAÚJO ANA CLAÚDIA CELESTINO BEZERRA LEITE ANDRÉ LUIZ DOS ANJOS DE OLIVEIRA CRISTIANE RIBEIRO DE ALMEIDA AFONSO JULIANA PIES Syringohydromyelia or HTLV-I-associated myelopathy/tropical spastic paraparesis: a diagnostic challenge (case report) Arquivos de Neuro-Psiquiatria HTLV-I tropical spastic paraparesis syringomyelia hydromyelia magnetic resonance imaging differential diagnosis |
| title | Syringohydromyelia or HTLV-I-associated myelopathy/tropical spastic paraparesis: a diagnostic challenge (case report) |
| title_full | Syringohydromyelia or HTLV-I-associated myelopathy/tropical spastic paraparesis: a diagnostic challenge (case report) |
| title_fullStr | Syringohydromyelia or HTLV-I-associated myelopathy/tropical spastic paraparesis: a diagnostic challenge (case report) |
| title_full_unstemmed | Syringohydromyelia or HTLV-I-associated myelopathy/tropical spastic paraparesis: a diagnostic challenge (case report) |
| title_short | Syringohydromyelia or HTLV-I-associated myelopathy/tropical spastic paraparesis: a diagnostic challenge (case report) |
| title_sort | syringohydromyelia or htlv i associated myelopathy tropical spastic paraparesis a diagnostic challenge case report |
| topic | HTLV-I tropical spastic paraparesis syringomyelia hydromyelia magnetic resonance imaging differential diagnosis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1999000200019&tlng=en |
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