Afzal Hasnain, Kadakia Satish, Lev Steven
Resident Physician Psychiatry, Nassau University Medical Center, East Meadow, USA.
Chairman Department of Neurology, Nassau University Medical Center, East Meadow, USA.
Cureus. 2018 Jul 7;10(7):e2940. doi: 10.7759/cureus.2940.
Human T-lymphotropic virus 1 (HTLV-1) infection is commonly associated with neurological conditions like chronic progressive myelopathy and tropical spastic paraparesis (TSP) but rarely also reported with polymyositis, multiple sclerosis, and parkinsonism. It is important to recognize that HTLV-1 infection increases the risk of these neurological conditions. We present a case of 71-year-old female with HTLV-1 associated chronic progressive myelopathy with parkinsonism which signifies that it is under-recognized and not frequently reported due to lack of expert neurological assessment in these chronically debilitated patients.
人类嗜T淋巴细胞病毒1型(HTLV-1)感染通常与慢性进行性脊髓病和热带痉挛性截瘫(TSP)等神经系统疾病相关,但也很少有与多发性肌炎、多发性硬化症和帕金森综合征相关的报道。认识到HTLV-1感染会增加这些神经系统疾病的风险很重要。我们报告一例71岁女性,患有与HTLV-1相关的慢性进行性脊髓病伴帕金森综合征,这表明由于这些长期衰弱患者缺乏专业的神经学评估,该病未得到充分认识且报道不频繁。