Fulminant Myelopathy following Neurogenic Proximal Weakness Associated with Human T-Cell Lymphotropic Virus Type I Infection
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- Yamashita Satoshi
- Department of Neurology, Faculty of Life Sciences, Kumamoto University, Japan
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- Ueda Akihiko
- Department of Neurology, Faculty of Life Sciences, Kumamoto University, Japan
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- Hirahara Tomoo
- Department of Neurology, Faculty of Life Sciences, Kumamoto University, Japan
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- Kimura En
- Department of Neurology, Faculty of Life Sciences, Kumamoto University, Japan
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- Hirano Teruyuki
- Department of Neurology, Faculty of Life Sciences, Kumamoto University, Japan
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- Uchino Makoto
- Department of Neurology, Faculty of Life Sciences, Kumamoto University, Japan
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We report a patient with human T-cell lymphotropic virus type I (HTLV-I) infection, who presented with proximal extremity neurogenic muscular weakness followed by fulminant myelopathy, but with no upper motor symptoms. The symptoms were inconsistent with the World Health Organization or El Escorial criteria for HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) or amyotrophic lateral sclerosis (ALS). This case indicates that fulminant myelopathy without upper motor neuronal symptoms may occur long after the onset of HTLV-I-associated neurogenic proximal muscular weakness. Additionally, we report that treatment with high-dose steroid pulse therapy partially improves symptoms of lightning pain and sensory disturbance.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 50 (8), 919-924, 2011
一般社団法人 日本内科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204872676480
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- NII論文ID
- 130000650085
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- ISSN
- 13497235
- 09182918
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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