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The HTLV-I associated myelopathy/tropical spastic paraparesis (HAM/TSP), a myelopathy with predominant involvement of the pyramidal tract with minimal sensory loss and associated with HTLV-I infection, endemic in tropical areas, has been identified in four patients in Porto Alegre (RS, Brazil), a temperate zone. A mielopatia associada ao HTLV-I/paraparesia espástica tropical (HAM/TSP), uma mielopatia com envolvimento predominante do trato piramidal e com perda sensitiva mínima, que tem o vírus HTLV-I como agente etiológico e é endêmica em várias áreas tropicais, foi identificada em quatro pacientes em Porto Alegre (RS, Brasil), uma zona temperada

HTLV-I associated myelopathy / tropical spastic paraparesis: report of the first cases in Rio Grande do Sul, Brazil