Walton G W, Kaplan S A
Department of Urology, Columbia-Presbyterian Medical Center, New York, New York.
J Urol. 1993 Sep;150(3):930-2. doi: 10.1016/s0022-5347(17)35652-5.
Tropical spastic paraparesis is an infection caused by human T lymphotropic virus type 1 (HTLV-1). We present the urodynamic findings in 4 female and 1 male patient with tropical spastic paraparesis. All patients underwent synchronous video-pressure-flow urodynamics, while 3 also underwent electromyographic examination. Of the 5 patients 4 presented with detrusor external sphincter dyssynergia and 1 had detrusor hyperreflexia with a coordinated sphincter contraction. The preliminary results of this series suggest that patients with tropical spastic paraparesis and voiding symptoms should undergo urodynamic examination so that diagnosis and appropriate therapy may be instituted.
热带痉挛性截瘫是由1型人类嗜T淋巴细胞病毒（HTLV-1）引起的一种感染性疾病。我们报告了4例女性和1例男性热带痉挛性截瘫患者的尿动力学检查结果。所有患者均接受了同步影像-压力-尿流率尿动力学检查，其中3例还接受了肌电图检查。5例患者中，4例表现为逼尿肌外括约肌协同失调，1例表现为逼尿肌反射亢进伴括约肌协调性收缩。该系列研究的初步结果表明，有排尿症状的热带痉挛性截瘫患者应接受尿动力学检查，以便进行诊断并制定适当的治疗方案。
