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HTLV-1 associated myelopathy

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  • 55-year-old patient presented with lower limb weakness, parathesia, and arflexia.
  • MRI showed a mildly swollen and hyperintense cervical and thoracic cord with patchy, mainly peripheral, enhancement.
  • On follow-up imaging after 2 months, the hyperintensity persisted but the swelling and enhancement resolved.