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Dysautonomia in human T-cell lymphotrophic virus type I-associated myelopathy/tropical spastic paraparesis
A H Alamy1, F B Menezes, A C Leite
1Reference Centers for Neurological Infections and HTLV, Evandro Chagas Hospital Research Center, FIOCRUZ, Rio de Janeiro, RJ, Brazil. ahalamy@pobox.com.br
Abstract:
The frequency and importance of dysautonomia in human T-cell lymphotrophic virus type I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) have not been fully investigated. We describe the characteristics of dysautonomia in such patients in a case-control study. Our results indicate that autonomic disturbances are more frequent in HAM/TSP than has been previously suggested, with a predominance of sympathetic nervous system dysfunction. In some of these patients, the symptoms may be severe enough to warrant specific treatment.
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