So Y T, Olney R K
Department of Neurology, School of Medicine, University of California, San Francisco.
Muscle Nerve. 1991 Dec;14(12):1159-64. doi: 10.1002/mus.880141203.
A 56-year-old man with acute paralytic poliomyelitis is described. The illness started with fever and diarrhea after an overseas trip, and an enterovirus other than poliovirus was isolated from the patient's stool. The onset of weakness was rapid and asymmetric, with primary involvement of the lower extremities. Nerve conduction studies revealed low amplitude motor responses after the first week, with normal results for sensory studies. Serial electromyographic studies were performed, documenting acute denervation followed later by reinnervation in the distribution of multiple segments. The clinical and electrodiagnostic features of acute poliomyelitis are reviewed.
本文描述了一名56岁的急性麻痹性脊髓灰质炎男性患者。该疾病始于一次海外旅行后的发热和腹泻，从患者粪便中分离出了一种非脊髓灰质炎病毒的肠道病毒。肌无力起病迅速且不对称，主要累及下肢。神经传导研究显示，第一周后运动反应波幅降低，感觉研究结果正常。进行了系列肌电图研究，记录了急性失神经支配，随后在多个节段分布区域出现再支配。本文对急性脊髓灰质炎的临床和电诊断特征进行了综述。
