English (United Kingdom)

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We describe three human T lymphotropic virus type I (HTLV-I) carriers, who are characterized by a dissociation between the clinical features including scarce cognitive impairments and peculiar hyperintensities in the deep and subcortical white matter detected by T2-weighted magnetic resonance imaging (MRI) scans. Unlike spotty MRI findings which are encountered in clinically asymptomatic elderly individuals and are previously described in some HTLV-I carriers, the MRI changes in our patients were diffuse and extensive. Known central nervous system disorders accompanying a cerebral white matter involvement were failed to be diagnosed. These findings support a possibility that extensive lesions in the supratentorial white matter are associated with HTLV-I infection with minimal symptoms, and suggest that MRI scans may detect occult diffuse inflammatory changes associated with the virus infection in these patients.

Occult diffuse involvement of supratentorial white matter detected by magnetic resonance imaging in HTLV-I carriers.