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A poliomyelitis-like paralytic disease during recovery from an attack of bronchial asthma is described in two young children.They presented at the age of 13 and 22 months,respectively,with acute flaccid paralysis of one or both lower limbs and preserved sensation.Cerebrospinal fluid examinations revealed mild protein elevation in both and pleocytosis in the second infant.Enteroviruses were isolated in the nasal swab and stools of the second patient.Acute onset of flaccid paralysis with absent motor action potential and normal sensory responses,detected by electrophysiologic studies,are highly suggestive of motor anterior horn cell disease in these infants.A multifactorial setup of immune suppression,stress,and neurotoxic drugs during an acute bronchial asthma attack triggered by a viral disease may render the patient vulnerable to viral invasion of the anterior horn cell with enteroviruses other than poliovirus.The overall experinece of 22 patients with this serious complication is reviewed. |
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anterior horn cell disease asthma asthma,poliomyelitis-like syndrome with cerebrospinal fluid cerebrospinal fluid,abnormal electromyogram flaccid paralysis kyphoscoliosis,neurologic causes of leg weakness,bilateral leg weakness,unilateral monoparesis motor neuron disease muscle pain paraplegia pleocytosis of cerebrospinal fluid poliomyelitis-like illness prognosis
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