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December 1939

ACUTE ANTERIOR POLIOMYELITIS (HEINE-MEDIN DISEASE?) WITH UNUSUAL CEREBRAL MANIFESTATIONSCLINICAL AND PATHOLOGIC REPORT OF A CASE

Author Affiliations

CHICAGO

From the Department of Medicine, the University of Chicago.

Arch NeurPsych. 1939;42(6):1038-1052. doi:10.1001/archneurpsyc.1939.02270240076004
Abstract

Involvement of the brain in acute poliomyelitis is, as is well known, a commonplace observation even when it has not been indicated clinically. Conversely, the gray matter of the cord has been found to be implicated in epidemic encephalitis sufficiently often to warrant the recognition of a poliomyelitic form of this disease. The cerebral complications encountered in the present case of poliomyelitis, however, were so extraordinary in kind and degree, both clinically and pathologically, that they are herewith reported.

REPORT OF CASE 

Clinical History.  —C. J., a schoolboy aged 14, was admitted to the Albert Merritt Billings Hospital, to the service of Dr. George F. Dick, on Sept. 9, 1937, because of pain and weakness of the arms and legs. He had been well until five days before, when he had a severe headache which persisted. Mild gastrointestinal symptoms had been present during the next few days, and on the

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