Abstract:
:We describe a 34-year-old man from southern Florida with a history of intravenous drug use, dually infected with human immunodeficiency virus type 1 (HIV-1) and human T-lymphotropic virus type II (HTLV-II), who developed a myelopathy clinically indistinguishable from HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP). This myelopathy was characterized by spastic lower extremity weakness, distal paresthesias, sensory loss with a discrete thoracic level to pinprick, back pain, impotence, and sphincter disturbances. Nerve conduction studies revealed an associated mixed axonal and demyelinative neuropathy. Despite a lack of response to 10 months of zidovudine therapy, the myeloneuropathy improved dramatically 2 years after its onset in the absence of any therapeutic intervention.
journal_name
Neurologyjournal_title
Neurologyauthors
Berger JR,Svenningsson A,Raffanti S,Resnick Ldoi
10.1212/wnl.41.1.85subject
Has Abstractpub_date
1991-01-01 00:00:00pages
85-7issue
1eissn
0028-3878issn
1526-632Xjournal_volume
41pub_type
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