Tropical spastic paraparesis (TSP): clinical features

Evidence-based neurology checklist on tropical spastic paraparesis (tsp): clinical features: Etiology This is probably caused by Human T cell lymphotropic virus 1 (HTLV-1) HTLV-1 seronegative cases are recognised Some authors suggest it is autoimmune rather than viral Transmission Pathological…

Etiology

  • This is probably caused by Human T cell lymphotropic virus 1 (HTLV-1)
  • HTLV-1 seronegative cases are recognised
  • Some authors suggest it is autoimmune rather than viral

Transmission

Pathological features

TSP endemic countries

Spinal features

Other neurological features

Synonym

References

  1. Zaninovic V. On the etiology of tropical spastic paraparesis and human T-cell lymphotropic virus-I-associated myelopathy. Int J Infect Dis 1999; 3:168-176. 
  2. Zaninovic V. Possible etiologies for tropical spastic paraparesis and human T lymphotropic virus I-associated myelopathy. Braz J Med Biol Res 2004; 37:1-12. 
  3. Gessain A, Mahieux R. Tropical spastic paraparesis and HTLV-1 associated myelopathy: clinical, epidemiological, virological and therapeutic aspects. Rev Neurol (Paris) 2012; 168:257-269.
  4. Morrison AA, Samudralwar RD, Berger JR. Rapidly progressive and relapsing myelitis with human T lymphotropic virus type 1: a case report and review of the literature. Neurol Neuroimmunol Neuroinflamm 2026; 13:e200570.
  5. Martinez ARM, Casseb RF, Martins CR Jr, Nucci A, França MC Jr. Sensory neuronopathy heralding human T cell lymphotropic virus type I myelopathy. J Neurovirol 2018; doi: 10.1007/s13365-017-0609-x (Epub ahead of print).
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