Late functional deterioration following paralytic poliomyelitis
Autor: | Robin S. Howard, A J Williams, D Kidd, F W Heatley, G T Spencer, C. P. Panayiotopoulos |
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Rok vydání: | 1997 |
Předmět: |
Adult
Pediatrics medicine.medical_specialty Time Factors Respiratory Tract Diseases Myelitis Central nervous system disease Atrophy Paralysis medicine Humans Age of Onset health care economics and organizations business.industry General Medicine Middle Aged medicine.disease Poliomyelitis Surgery Postpoliomyelitis Syndrome Respiration Disorders Etiology Joint Diseases Nervous System Diseases medicine.symptom business |
Zdroj: | QJM. 90:189-196 |
ISSN: | 1460-2393 |
Popis: | Many patients with previous poliomyelitis develop 'post-polio syndrome' (PPS) in which late functional deterioration follows a period of relative stability. The frequency with which PPS can be attributed to clearly defined causes remains uncertain. We reviewed 283 newly-referred patients with previous poliomyelitis seen consecutively over a 4-year period; 239 patients developed symptoms of functional deterioration at a mean of 35 (5-65) years after the paralytic illness. Functional deterioration was associated with orthopaedic disorders in 170 cases, neurological disorders in 35, respiratory disorders in 19 and other disorders in 15. Progressive post-polio muscular atrophy was not observed. Functional deterioration following paralytic polio-myelitis is common, and associated with orthopaedic, neurological, respiratory and general medical factors which are potentially treatable. |
Databáze: | OpenAIRE |
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