抗HTLV-I抗体陽性のencephalomyeloneuritisと考えられた1例

A Case of Encephalomyeloneuritis and HTLV-I Infection

　亜急性に著明な感覚性失調を伴う末梢神経障害と意識障害，眼振，核上性排尿障害を呈し，血清および髄液の抗HTLV-I抗体が陽性であったencephalomyeloneuritisの症例を報告した。本例では悪性腫瘍は伴わず，ステロイド療法により症状は改善した。本例はHTLV-I関連神経疾患の多様性を示唆する症例と考えられた。

The patient, a 65-year-old woman, had liver cirrho-sis, and had blood transfusion at the age of 49 and 56. Early in September, 1989, she gradually developed numbness of the legs, staggering gait, and apathy with hallucination. In October, she became incontinent and unable to stand, and was admitted to Konan Hospital.

On admission, she was disoriented with poor com-prehension. Cranial nerves were intact except for hori-zontal nystagmus on lateral gaze. She had generalized areflexia without pathological reflex. Muscular forces were fairly preserved.