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Proposal for diagnostic criteria of tropical spastic paraparesis/HTLV-I- associated myelopathy (TSP/HAM)

  • Author(s): De Castro-Costa, CM
  • Araújo, AQC
  • Barreto, MM
  • Takayanagui, OM
  • Sohler, MP
  • Da Silva, ELM
  • De Paula, SMB
  • Ishak, R
  • Ribas, JGR
  • Rovirosa, LC
  • Carton, H
  • Gotuzzo, E
  • Hall, WW
  • Montano, S
  • Murphy, EL
  • Oger, J
  • Remondegui, C
  • Taylor, GP
  • et al.

After the first description of TSP/HAM in 1985 and the elaboration of WHO's diagnostic criteria in 1988, the experience of the professionals in this field has increased so that a critical reappraisal of these diagnostic guidelines was considered timely. Brazilian neurologists and observers from other countries met recently to discuss and propose a modified model for diagnosing TSP/HAM with levels of ascertainment as definite, probable, and possible, according to myelopathic symptoms, serological findings, and/or detection of HTLV-IDNA and exclusion of other disorders. © Mary Ann Liebert, Inc.

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