Case 123. HTLV-1-associated myelopathy (HAM) (54 y-o F)

       
 
Slowly progressive spastic paralysis in an HTVL-1 carrier in Kyushu
 
       

 

  In HAM, the main lesion is located in the white matter at the thoracic spinal cord level. Demyelination of the lateral column is evident (LFB-HE, low power).