Neurological symptoms and signs in HTLV-1 patients with overactive bladder syndrome

OBJECTIVE: To compare neurological symptoms and signs in HTLV-1 asymptomatic carriers and HTLV-1 patients with overactive bladder (OB) syndrome. METHODS: We studied 102 HTLV-1 positive individuals without HAM/TSP (HTLV-1 associated myelopathy/tropical spastic paraparesis) divided into two groups acc...

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Main Authors: Davi Tanajura Costa, André Luiz Muniz Alves dos Santos, Néviton Matos de Castro, Isadora Cristina de Siqueira, Edgar Marcelino de Carvalho Filho, Marshall Jay Glesby
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2012-04-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000400005&lng=en&tlng=en
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author Davi Tanajura Costa
André Luiz Muniz Alves dos Santos
Néviton Matos de Castro
Isadora Cristina de Siqueira
Edgar Marcelino de Carvalho Filho
Marshall Jay Glesby
author_facet Davi Tanajura Costa
André Luiz Muniz Alves dos Santos
Néviton Matos de Castro
Isadora Cristina de Siqueira
Edgar Marcelino de Carvalho Filho
Marshall Jay Glesby
author_sort Davi Tanajura Costa
collection DOAJ
description OBJECTIVE: To compare neurological symptoms and signs in HTLV-1 asymptomatic carriers and HTLV-1 patients with overactive bladder (OB) syndrome. METHODS: We studied 102 HTLV-1 positive individuals without HAM/TSP (HTLV-1 associated myelopathy/tropical spastic paraparesis) divided into two groups according to the presence or absence of OB syndrome. Clinical interview, neurological exam and proviral load was performed in all patients. RESULTS AND CONCLUSIONS: Individuals with OB were more commonly female (84.3 vs. 60.8% of asymptomatics, p=0.01). The prevalence of neurological complaints was higher in OB group, especially hand or foot numbness and arm or leg weakness. There was no difference between the groups in neurological strength and reflexes. Weakness complaint remained strongly associated with OB in multivariate logistic regression analysis adjusting for sex and age [adjusted odds ratio and 95%CI 3.59 (1.45-8.88) in arms and 6.68 (2.63-16.93) in legs]. Proviral load was also different between the two groups with higher level on OB individuals.
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spelling doaj.art-3d8ad92136964dbd97eb1f4333fa79f52022-12-22T01:14:13ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272012-04-0170425225610.1590/S0004-282X2012000400005S0004-282X2012000400005Neurological symptoms and signs in HTLV-1 patients with overactive bladder syndromeDavi Tanajura Costa0André Luiz Muniz Alves dos Santos1Néviton Matos de Castro2Isadora Cristina de Siqueira3Edgar Marcelino de Carvalho Filho4Marshall Jay Glesby5Universidade Federal da BahiaUniversidade Federal da BahiaUniversidade Federal da BahiaUniversidade Federal da BahiaUniversidade Federal da BahiaCornell UniversityOBJECTIVE: To compare neurological symptoms and signs in HTLV-1 asymptomatic carriers and HTLV-1 patients with overactive bladder (OB) syndrome. METHODS: We studied 102 HTLV-1 positive individuals without HAM/TSP (HTLV-1 associated myelopathy/tropical spastic paraparesis) divided into two groups according to the presence or absence of OB syndrome. Clinical interview, neurological exam and proviral load was performed in all patients. RESULTS AND CONCLUSIONS: Individuals with OB were more commonly female (84.3 vs. 60.8% of asymptomatics, p=0.01). The prevalence of neurological complaints was higher in OB group, especially hand or foot numbness and arm or leg weakness. There was no difference between the groups in neurological strength and reflexes. Weakness complaint remained strongly associated with OB in multivariate logistic regression analysis adjusting for sex and age [adjusted odds ratio and 95%CI 3.59 (1.45-8.88) in arms and 6.68 (2.63-16.93) in legs]. Proviral load was also different between the two groups with higher level on OB individuals.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000400005&lng=en&tlng=endoenças da medula espinalbexiga urinária neurogênicaparaparesia espástica tropicalmielite
spellingShingle Davi Tanajura Costa
André Luiz Muniz Alves dos Santos
Néviton Matos de Castro
Isadora Cristina de Siqueira
Edgar Marcelino de Carvalho Filho
Marshall Jay Glesby
Neurological symptoms and signs in HTLV-1 patients with overactive bladder syndrome
Arquivos de Neuro-Psiquiatria
doenças da medula espinal
bexiga urinária neurogênica
paraparesia espástica tropical
mielite
title Neurological symptoms and signs in HTLV-1 patients with overactive bladder syndrome
title_full Neurological symptoms and signs in HTLV-1 patients with overactive bladder syndrome
title_fullStr Neurological symptoms and signs in HTLV-1 patients with overactive bladder syndrome
title_full_unstemmed Neurological symptoms and signs in HTLV-1 patients with overactive bladder syndrome
title_short Neurological symptoms and signs in HTLV-1 patients with overactive bladder syndrome
title_sort neurological symptoms and signs in htlv 1 patients with overactive bladder syndrome
topic doenças da medula espinal
bexiga urinária neurogênica
paraparesia espástica tropical
mielite
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000400005&lng=en&tlng=en
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