Key result
A 57-year-old man with a history of poliomyelitis was diagnosed with post-poliomyelitis syndrome after presenting with left upper limb weakness and ongoing denervation on electromyography.
Case Report (n=1)
Postpoliomyelitis syndrome can present with non-specific symptoms such as new neuromuscular weakness years after acute poliomyelitis stabilization, requiring careful diagnostic evaluation.
Clinicians should consider post-poliomyelitis syndrome in polio survivors with new weakness; this case leaves open the need for diagnostic criteria and prevalence data.
INTRODUCTION: Postpoliomyelitis syndrome (PPS) refers to the new neuromuscular symptoms that occur in patients years after their acute poliomyelitis has stabilised. PPS cases seen now are probably related to the poliomyelitis epidemics of the 1940s and 1950s. CLINICAL PICTURE AND INVESTIGATION: A 57-year-old Chinese man with a history of poliomyelitis affecting both lower limbs presented with left upper limb weakness. Physical examination revealed atrophy of his left upper limb muscles. There were fasciculations in the biceps and brachioradialis muscles. Electromyography revealed ongoing denervation neurogenic units in the C5 to TI myotomes comparable with PPS. CONCLUSION: The aim of this paper is to review the present situation and to give a short summary of PPS, which can be difficult to diagnose because the symptoms of presentation are usually non-specific. We describe a case of PPS and review the current literature.
No takes yet. Share an insight, caveat, or question.
Lin et al. (2005) conducted a case report in Post-poliomyelitis syndrome (n=1). A 57-year-old man with a history of poliomyelitis was diagnosed with post-poliomyelitis syndrome after presenting with left upper limb weakness and ongoing denervation on electromyography.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: