Tropical Myeloneuropathies Follow-up

Updated: Jan 13, 2015
  • Author: Friedhelm Sandbrink, MD; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Further Outpatient Care

See the list below:

  • Physical therapy with strengthening exercises may be of benefit.

  • Occupational therapy is indicated for upper limb functioning and can provide assistive devices.



An important component in care of patients with TSP is prevention of infection with HTLV-1 virus. Several studies indicate that transmission of the HTLV-1 virus occurs through sexual or other intimate contact (intrauterine, neonatal contact, perinatal exposure via breast milk, sharing of needles by drug abusers, and blood transfusion from infected persons). One study showed that transfusion of HTLV-1 antibody-positive blood causes seroconversion in 60% of recipients. Transfusion of plasma alone in humans did not result in seroconversion. Breastfeeding is contraindicated for mothers who are carriers of HTLV-1.