neurologic disorders
HTLV 1–Associated Myelopathy Tropical Spastic Paraparesis (HAM TSP)
Symptoms and Signs of HAM TSP
Spastic weakness develops gradually in both legs, with extensor plantar responses and bilateral symmetric loss of position and vibratory sensation in the feet. Achilles tendon reflexes are often absent. Urinary incontinence and urgency are common. Symptoms usually progress over several years. 