Wednesday, May 18, 2011

Myelopathy associated with retroviruses

Myelopathy associated with human virus type I limfotrop for T cell(HTLV I) is typically chest.

Clinical onset is usually insidious and manifested by a slowlyprogressive spastic paraparesis, accompanied by sensitivity problems are and disorders of the urinary bladder sphincter. The degree of progression is variable. Upper limb neurologicalexamination reveals exaggerated tendon reflexes. Approximately50% of patients present with pain in the spine or limbs.
Clinical signs may be asymmetric.

Diagnosis
Is determined by ELISA - Anti HTLV I-specific antibodies in serum.Diagnosis is confirmed by Western-blot reaction or byradioimmunoprecipitation.

Treatment
Treatment is symptomatic. Treat symptomatic bladder spasticityand sphincter disorders. There is no specific treatment.

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