Case 123. Reference case 123A

　 　 　 　
　
Another case (38 y-o F) of HAM in Kyushu, manifesting spastic paralysis
 　
　 　 　 　

　

 　 The lateral columns show severe demyelination and axonal loss with gliosis and lymphocytic infiltration (LFB-PAS). Myelinated fibers are extensively lost. Neurons are preserved.