Which physical findings are characteristic of HIV-associated vacuolar myelopathy (VM)?

Updated: May 07, 2018
  • Author: Krupa Pandey, MD; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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The following may be noted:

  • Slowly progressive spastic paraparesis; signs and symptoms may be asymmetric early on

  • Hyperreflexia and extensor plantar responses

  • Dorsal column-type sensory loss

  • Ataxic gait 

  • Incontinence

  • Erectile dysfunction may be an early sign

  • Rare involvement of upper extremities

A discrete sensory level is usually absent; if present, this strongly suggests other causes of myelopathy.

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