Discrepancy, coincidence or evidence in chronic idiopathic spastic paraparesis throughout the world: a meta-analysis on 2811 patients

Author:

Leon-S Fidias E.1,Costa Carlos Mauricio de Castro2,Gaffga Nicholas3

Affiliation:

1. University School of Medicine Bucaramanga

2. UFCE, Brasil

3. University of Alabama at Birmingham

Abstract

HTLV-I has been associated with a chronic idiopatic spastic paraparesis (CHISPA) in man; however, a complete understanding of this association is still debated. We selected the most comprehensible papers on this topic between 1985 and 1996, and found that 1261 out of 2811 patients (44.9%) reported, throughout the world, were HTLV-I positive. The mean age was 39.5 years and there was a female predominance of 1.9:1. These results do not exclude the causality of HTLV-I as a germen associated to CHISPA; however, other causes (e.g., toxic, immunosuppressors) must be considered as participating in the multistep neurodegeneration observed in CHISPA throughout the world.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference65 articles.

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2. Mycosis fungoides and Sezary syndrome are not associated with HTLV-I infection: an international study;Bazarbachi A;J AIDS Hum Retrov,1995

3. HLA profile and HTLV-I associated myelopathy(HAM/TSP) in Natal: South Africa;Bhigjee AI;J Neurol Neurosurg Psychiatry,1991

4. Paraparesia esporádica del adulto por degenracion retrograda del sistema piramidal;Carrier L;Neurol Col,1983

5. Cause of AIDS;Cook GC;BMJ,1996

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