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Figure 1 | BMC Neurology

Figure 1

From: Clinical presentation of axial myopathy in two siblings with HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP)

Figure 1

Atrophy in paraspinal muscles of the siblings. (A-E) Computed tomography studies of 5 patients with HAM/TSP at several truncal levels (upper thoracic, lower thoracic, lumbar and sacral levels). (A, B, E) The degree of muscle atrophy of the control HAM/TSP patients was in accordance with the duration of HAM/TSP. (C, D) The two siblings showed extreme atrophy of the paraspinal muscles (arrow) in comparison to the iliopsoas muscles (IP). The difference in atrophy between iliopsoas and paraspinal muscle of the two siblings is conspicuous in comparison to case B with similar disease duration. (D) The gluteus medius and minimus (arrow head) were also selectively atrophied in the elder brother. PS, paraspinal muscles; IP, iliopsoas; MAX, gluteus maximus; MED, gluteus medius; MIN, gluteus minimus.

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