Proposal for Diagnostic Criteria of Tropical Spastic Paraparesis/HTLV-I-Associated Myelopathy (TSP/HAM)
Carlos Maurício de Castro‐Costa(Universidade Federal do Ceará), Abelardo Araújo(Universidade Federal do Rio de Janeiro), Márcio M. Barreto(Pontifícia Universidade Católica do Rio Grande do Sul), Osvaldo Massaiti Takayanagui(Universidade de Ribeirão Preto), Márzia Puccioni Sohler(Universidade Federal do Rio de Janeiro), Eduardo L. M. Da Silva(Universidade Federal do Pará), Sônia M. B. De Paula(Universidade Federal do Pará), Ricardo Ishak(Universidade Federal do Pará), João Gabriel Ribas(Centro Universitário de Belo Horizonte), Luis C. Rovirosa(University of Chile), H. Carton(KU Leuven), Eduardo Gotuzzo(Universidad Peruana Cayetano Heredia), William W. Hall(University College Dublin), Silvia M. Montano(United States Naval Medical Research Unit SOUTH), Edward L. Murphy(University of California, San Francisco), Joël Oger(University of British Columbia), Carlos Remondegui(National University of Jujuy), Graham P. Taylor(Imperial College London)
Cited by 268Open Access
Abstract
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-I DNA and exclusion of other disorders.
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