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Inicio Colombian Journal of Anesthesiology Tropical Spastic Paraparesis and Anesthesia: Case Report and Topic Review
Información de la revista
Vol. 40. Núm. 2.
Páginas 162-166 (Mayo - Julio 2012)
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Vol. 40. Núm. 2.
Páginas 162-166 (Mayo - Julio 2012)
DOI: 10.1016/S2256-2087(12)70034-2
Acceso a texto completo
Tropical Spastic Paraparesis and Anesthesia: Case Report and Topic Review
Paraparesia espástica tropical y anestesia: reporte de caso y revisión temática
Visitas
...
Ricardo Poveda-Jaramilloa,??
Autor para correspondencia
ricardopovedamd@yahoo.com

Corresponding author: Oficina de Postgrados, Sede Zaragocilla-Campus de la Salud, Universidad de Cartagena, Cartagena, Colombia.
, Adalberto Pacheco Pachecoa, Alfonso Martínezb
a Physician, Graduate Student, Anesthesiology and Reanimation, Facultad de Medicina, Universidad de Cartagena, Cartagena, Colombia
b Physician, Anesthesiology and Reanimation Specialist, Algology Subspecialist, Hospital Universitario de Cartagena, Cartagena, Colombia
Información del artículo
Abstract
Introduction

Tropical spastic paraparesis is an endemic infection in Colombia caused by the HTLV-1 retrovirus. It is characterized by a slow and progressive myelopathy that initially targets lower limbs. Complications such as eschars due to a prolonged decubitus, urinary retention to sphincter dysfunction, fractures, etc. make these patients potential surgery candidates.

Objective

To report a case and to review the physiopathology, epidemiology, clinical manifestations, treatment and basic anesthetic considerations of this disease.

Methods

Case report and topic review. The research included clinical trials, meta-analysis, practice guides, randomized controlled assays, revisions, case reports, classic articles, comparative studies, consensus conferences, magisterial classes and textbooks regarding published articles on tropicalsSpastic paraparesis/HTLV-1 (TSP/HAM) Associated myelopathy and anesthetic implications. Publications focused on etiology, physiopatology, epidemiology, clinical manifestations, treatment and anesthetic repercussions of TSP/ HAM were included in this article. Research was carried out through PubMed, MdConsult, EBSCOhost, OvidSP, and Scielo, of articles in English and Spanish. The MeSH terms used were: paraparesis, tropical spastic, anesthesia and the DeCS terms were: paraparesia espástica tropical, anestesia. Titles and abstracts of articles identified in the database were studied independently.

Results

We describe the case of a male adult patient who was admitted to surgery for urethral reconnection after presenting a classic complication of tropical spastic paraparesis.

Research on the topic yielded 1829 studies. A total 20 writings met the inclusion criteria. We present implications regarding anesthesia and the disease.

Keywords:
Tropical spastic paraparesis
Spinal cord diseases
Anesthesia
Retroviridae
Resumen
Introducción

La paraparesia pspástica tropical es una infección endémica en Colombia, causada por el retrovirus HTLV-1. Se caracteriza por una mielopatía de lenta instauración que compromete principalmente los miembros inferiores. Las complicaciones, como escaras por decúbito prolongado, retención urinaria por disfunción esfinteriana, fracturas, etc., hacen de estos pacientes candidatos quirúrgicos potenciales.

Objetivo

Reporte de caso y revisión temática de la fisiopatología, epidemiología, clínica, tratamiento, y de los aspectos anestésicos básicos de la enfermedad.

Metodología

Reporte de caso y revisión temática. Se incluyeron en la búsqueda ensayos clínicos, meta-análisis, guías para la práctica, ensayos controlados aleatorizados, revisiones, reportes de casos, artículos clásicos, estudios comparativos, conferencias de consenso, clases magistrales y libros de texto, de artículos publicados sobre paraparesia espástica tropical/mielopatia asociada al HTLV-1 (PET/MAH) e implicaciones anestésicas. Se incluyeron las publicaciones cuyo tema central fuese etiología, fisiopatología, epidemiologia, manifestaciones clínicas, tratamiento y repercusiones anestésicas de PET/MAH. Se realizó una búsqueda PubMed, MdConsult, EBSCOhost, OvidSP, y Scielo, de artículos en inglés y español. Se utilizaron los términos MeSH: paraparesis, tropical spastic, anesthesia y los términos DeCS: paraparesia espástica tropical, anestesia. Se estudiaron de forma independiente títulos y resúmenes de los artículos identificados en las bases de datos.

Resultados

Se describe el caso de un adulto masculino quien fue llevado a cirugia para reconexión uretral, después de presentar una de las complicaciones características de la paraparesia espástica tropical. La búsqueda arrojó 1.829 estudios. 20 escritos cumplieron con los criterios de inclusión. Se hace una presentación de implicaciones anestésicas y de la enfermedad.

Palabras clave:
Paraparesia espástica tropical
Enfermedades de la médula espinal
Anestesia
Rotavirus
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References
[1.]
I. Mylonas, A. Brüning, F. Kainer, K. Friese.
HTLV infection and its implication in gynaecology and obstetrics.
Arch Gynecol Obstet, 282 (2010), pp. 493-501
[2.]
M. Robert-Guroff, S.H. Weiss, J.A. Giron, A.M. Jennings, H.M. Ginzburg, I.B. Margolis, et al.
Prevalence of antibodies to HTLV-I, -II, and -III in intravenous drug abusers from an AIDS endemic region.
JAMA, 255 (1986), pp. 3133-3137
[3.]
Y. Kanmura, R. Komoto, K. Kawasaki, N. Yoshimura.
Anesthetic considerations in myelopathy associated with human T-cell lymphotropic virus type I (HTLV-I-associated myelopathy: HAM).
Anesth Analg, 83 (1996), pp. 1120-1121
[4.]
S. Ijichi, M. Osame.
Human T lymphotropic virus type I (HTLV-I)- associated myelopathy/tropical spastic paraparesis (HAM/TSP): recent perspectives.
Intern Med, 34 (1995), pp. 713-721
[5.]
T. Nakamura.
HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP): the role of HTLV-I-infected Th1 cells in the pathogenesis, and therapeutic strategy.
Folia Neuropathol, 47 (2009), pp. 182-194
[6.]
D.U. Gonçalves, F.A. Proietti, J.G. Ribas, M.G. Araújo, S.R. Pinheiro, A.C. Guedes, et al.
Epidemiology, treatment, and prevention of human T-cell leukemia virus type 1-associated diseases.
Clin Microbiol Rev, 23 (2010), pp. 577-589
[7.]
A.B. Carneiro-Proietti, B.C. Catalan-Soares, C.M. Castro-Costa, E.L. Murphy, E.C. Sabino, M. Hisada, et al.
HTLV in the Americas: challenges and perspectives.
Rev Panam Salud Publica, 19 (2006), pp. 44-53
[8.]
K. Nitahara, M. Matsuyama, T. Sakuragi, K. Higa.
Depression of evoked electromyographic (EEMG) responses by propofol in a patient with human T-cell lymphotropic virus type I-associated myelopathy (HAM).
Anesth Analg, 91 (2000), pp. 755-757
[9.]
J.E. Kaplan, M. Osame, H. Kubota, A. Igata, H. Nishitani, Y. Maeda, et al.
The risk of development of HTLV-I-associated myelopathy/tropical spastic paraparesis among persons infected with HTLV-I.
J Acquir Immune Defic Syndr, 3 (1990), pp. 1096-1101
[10.]
E.A. Kendall, E. González, I. Espinoza, M. Tipismana, K. Verdonck, D. Clark, et al.
Early neurologic abnormalities associated with human T-cell lymphotropic virus type 1 infection in a cohort of Peruvian children.
J Pediatr, 155 (2009), pp. 700-706
[11.]
N. Kuriyama, F. Niwa, Y. Watanabe, K. Yamada, T. Tokuda, T. Mizuno, et al.
Evaluation of autonomic malfunction in HTLV-1 associated myelopathy (HAM).
Auton Neurosci, 150 (2009), pp. 131-135
[12.]
F.M. Martins, J. Casseb, A.C. Penalva-de-Oliveira, M.F. De Paiva, F. Watanuki, K.L. Ortega.
Oral manifestations of human T-cell lymphotropic virus infection in adult patients from Brazil.
[13.]
S. Sonoda, H.C. Li, K. Tajima.
Ethnoepidemiology of HTLV-1 related diseases: ethnic determinants of HTLV-1 susceptibility and its worldwide dispersal.
Cancer Sci, 102 (2011), pp. 295-301
[14.]
M. Osame, A. Igata, K. Usuku, R.L. Rosales, M. Matsumoto.
Mother-to-child transmission in HTLV-I associated myelopathy.
Lancet, 1 (1987), pp. 106
[15.]
K. Sugimoto, A. Ohmori, H. Iranami, Y. Hatano.
Tramadol, vecuronium, and thoracic epidural ropivacaine combined with sevoflurane anesthesia in a patient with human T-lymphotropic virus type 1-associated myelopathy.
[16.]
T. Nakamura, Y. Nishiura, K. Eguchi.
Therapeutic strategies in HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP).
Cent Nerv Syst Agents Med Chem, 9 (2009), pp. 137-149
[17.]
R. Udelsman, W.T. Gallucci, J. Bacher, D.L. Loriaux, G.P. Chrousos.
Hemodynamic effects of corticotropin releasing hormone in the anesthetized cynomolgus monkey.
Peptides, 7 (1986), pp. 465-471
[18.]
M.F. Roizen, L.A. Fleisher.
Anesthetic implications of concurrent diseases.
Miller's Anesthesia, 7th,
[19.]
R.M. Jones, T.E. Healy.
Anaesthesia and demyelinating disease.
Anaesthesia, 35 (1980), pp. 879-884
[20.]
H. Yuasa, T. Higashizawa, Y. Koga.
Spinal anesthesia in human T lymphotropic virus type I-associated myelopathy.
Anesth Analg, 92 (2001), pp. 1618
Copyright © 2012. Sociedad Colombiana de Anestesiología y Reanimación
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