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Cervical cord (MRI)

T2-weighted sagittal MRI of the cervical cord demonstrates atrophy in a 32-year-old patient with urinary retention, spastic paraparesis, and HTLV-1 detectable in the CSF. This finding has been described previously in HAM/TSP. Atrophy was found at a similar rate in the patient with multiple sclerosis the authors studied. (Used with permission from: Howard A, Li D, Oger J. MRI contributes to the differentiation between multiple sclerosis and HTLV-1 associated myelopathy in British Columbian coastal natives. Can J Neurol Sci 2003;30:41-8.)

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