NMOSD-like and longitudinal extensive HTLV1-associated myelitis are extremes that flank an overlooked continuum.
Mickael BonnanStéphane OlindoAissatou SignateQuentin LobjoisMaeva StephantDalia Dimitri BoulosPhilippe CabrePublished in: Multiple sclerosis journal - experimental, translational and clinical (2021)
We propose that acute onset of NMOSD-like HAM could be more frequent than expected and should be evoked in high-risk patients. Extensive but often transient cord lesions could be the hallmark of an excessive inflammation of the funiculi targeted by HTLV1 infection. Although usually minor, a few HAM cases demonstrate specific MRI lesions, and the most severe cases may mimic NMOSD attacks.
Keyphrases
- end stage renal disease
- ejection fraction
- magnetic resonance imaging
- newly diagnosed
- chronic kidney disease
- liver failure
- drug induced
- prognostic factors
- peritoneal dialysis
- computed tomography
- hepatitis b virus
- magnetic resonance
- respiratory failure
- weight gain
- drug delivery
- intensive care unit
- body mass index
- cross sectional
- blood brain barrier
- aortic dissection
- weight loss
- subarachnoid hemorrhage