Document Detail


Two Babinski signs in seropositive (HAM) and seronegative tropical spastic paraparesis.
MedLine Citation:
PMID:  18949264     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tropical spastic paraparesis (TSP) may or may not be associated to HTLV-I antibodies and is usually characterized by clinical and pathological spinal cord abnormalities at thoracic levels. We present here five Brazilian patients who had typical chronic idiopathic spastic paraparesis; two of them were HTLV-I seropositive (HAM) and three HTLV-I seronegative (TSP) -associated-myelopathy. Three out of these five patients also displayed clinical supraspinal involvement, indeed, platysma muscle hypotrophy or atrophy (the Babinski plus sign). These findings support the view that clinical involvement in HAM and TSP is wider than the spinal cord abnormalities usually considered. Possible non-infectious co-factors (e.g., mycotoxins) may be involved in disease pathogenesis in a multistep process of viruses, toxins and environment which may account for serological differences found in this group of patients.
Authors:
Fidias E Leon-Sarmiento; Andres Calderon; Hernan G Hernandez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arquivos de neuro-psiquiatria     Volume:  66     ISSN:  1678-4227     ISO Abbreviation:  Arq Neuropsiquiatr     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-24     Completed Date:  2009-08-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0125444     Medline TA:  Arq Neuropsiquiatr     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  695-7     Citation Subset:  IM    
Affiliation:
Unit of Movement Disorders and Neuromagnetismo, Neurology Section, Fundacion Santa Fe, Bogota, Colombia. feleones@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Disease
Female
HTLV-I Antibodies / blood
Human T-lymphotropic virus 1 / immunology
Humans
Male
Middle Aged
Paraparesis, Spastic / complications*,  diagnosis
Paraparesis, Tropical Spastic / complications*,  diagnosis
Reflex, Babinski / etiology*
Chemical
Reg. No./Substance:
0/HTLV-I Antibodies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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