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June 24, 1911


Author Affiliations

Visiting Neurologist, City Hospital NEW YORK

JAMA. 1911;LVI(25):1867-1870. doi:10.1001/jama.1911.02560250001001

Much has been written about the recent epidemic of poliomyelitis. Attention has been directed to many anomalous and rare types, and our general knowledge of the disease has received a tremendous extension. At the same time, however, not enough emphasis has been laid on certain forms which are probably much more frequent than has been supposed, and which in many individuals run a mild course, and are frequently overlooked, or entirely misinterpreted.

These are the meningeal types. When severe, they are mistaken for epidemic cerebrospinal meningitis, and their occurrence has in large part given rise to the notion that poliomyelitis epidemics follow those of cerebrospinal meningitis. Wickman1 has discussed this supposed relationship in a thoroughly critical manner. Many are fatal, while again, others may be grouped with the abortive types of poliomyelitis, concerning which latter we have much to learn.

The Report of the Poliomyelitis Committee2 has little