Revision is made to 121 Chilean patients with progressive adult spastic paraparesis (PSPs) associated to HTLV-I. Epidemiologic, clinical, diagnosis and associated illnesses aspects are analyzed as well as the pathogenesis. The follow-up of patients during several years allowed defining the evolutional profile, establishing the causes of death and studying the virus' behavior. Pathogenetic hypothesis arose from the neuropathological search to define the mechanisms of damage supported on immunohystochemical studies. It was confirmed that the CNS illness is a degenerative process linked to a central axonopathy which expresses flaws in the axoplasmic transport, particularly affecting the corticospinal tracts, although there is a more extended myeloencephalic involvement. Furthermore, the virus is capable of producing a multisystemic illness that may simultaneously involve the nervous system; the haemathological system; the exocrine glands; the hepatic, lung, muscular and bone parenchymas.
ARTÍCULO DE REVISIÓNH eran portadores de una paraparesia espástica progresiva 3 .Los estudios epidemiológicos del virus, realizados en Chile en la década del 90, observaron una seroprevalencia de 0,70%, en la población chilena general 4,5 y una seroprevalencia mayor, del 1% al 9% entre los "pueblos originarios" que sugerían una presencia prehispánica del HTLV-I en Chile y en América 6,7 .Presuntamente, este retrovirus habría sido REV CHIL NEURO-PSIQUIAT 2009; 47 (1): 50-66