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Case 8 - Postpolio Syndrome (PPS); Poliomyelitis Anterior Acuta, West Nile Virus Poliomyelitis, Acute Flaccid Weakness in Children

from Disorders of the Anterior Horn Cell

Published online by Cambridge University Press:  29 November 2024

Jessica E. Hoogendijk
Affiliation:
University Medical Center Utrecht
Marianne de Visser
Affiliation:
Amsterdam University Medical Center
Pieter A. van Doorn
Affiliation:
Erasmus MC, University Medical Center, Rotterdam
Erik H. Niks
Affiliation:
Leiden University Medical Center
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Summary

A 63-year-old woman was referred because of decreased strength of her right leg manifesting with buckling of the knee for the past five years. Sometimes this led to falls, which made her feel insecure while walking. She experienced some aching in her right heel and in her right knee after long walks. She was able to walk for two hours. She and her husband loved to walk in the mountains, and during those hikes she used a cane. The previous history is relevant because at age 5 years she had suffered from poliomyelitis anterior acuta, which had affected both legs. She had a partial recovery in the sense that she regained normal strength of her left leg and was left with residual weakness of her right leg. She underwent surgery at age 10 years (ankle arthrodesis on the right and epiphysiodesis of the left leg).

Type
Chapter
Information
Neuromuscular Disease
A Case-Based Approach
, pp. 91 - 92
Publisher: Cambridge University Press
Print publication year: 2024

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References

Suggested Reading

Koopman, FS, Beelen, A, Gilhus, NE, de Visser, M, Nollet, F. Treatment for postpolio syndrome. Cochrane Database Syst Rev 2015;(5):CD007818. doi: 10.1002/14651858.CD007818.pub3. PMID: 25984923.Google Scholar
Li Hi, Shing S, Chipika, RH, Finegan, E, et al. Post-polio syndrome: more than just a lower motor neuron disease. Front Neurol 2019;10:773. doi: 10.3389/fneur.2019.00773. PMID: 31379723; PMCID: PMC6646725.CrossRefGoogle Scholar
Murphy, OC, Messacar, K, Benson, L, et al.; AFM working group. Acute flaccid myelitis: cause, diagnosis, and management. Lancet 2021;397(10271):334346. doi: 10.1016/S0140-6736(20)32723-9. Epub 2020 Dec 23. PMID: 33357469; PMCID: PMC7909727.CrossRefGoogle ScholarPubMed
Patel, H, Sander, B, Nelder, MP. Long-term sequelae of West Nile virus-related illness: a systematic review. Lancet Infect Dis 2015;15(8):951959. doi: 10.1016/S1473-3099(15)00134-6. Epub 2015 Jul 7. PMID: 26163373.CrossRefGoogle ScholarPubMed

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