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September 1976

Sensory Losses in Poliomyelitis

Arch Neurol. 1976;33(9):664. doi:10.1001/archneur.1976.00500090070022

Sensory losses in poliomyelitis are rare,1-3 but we recently cared for such a patient with both paraplegia and severe sensory disturbances.

Report of a Case.—  A 19-year-old soldier had noted back pain, neck stiffness, headache, muscle aches, and temperatures of 38 C for eight days. At age 1 year, he had received the formaldehydeinactivated polio vaccine (Salk). At 4 years of age, he had had tuberculosis of the lumbar spine and had received adequate treatment.On admission, his temperature was 38 C and there was mild nuchal rigidity. The remainder of the examination was normal. Routine laboratory values were normal; lumbar puncture showed normal opening pressure with clear fluid containing 500 cells per cubic millimeter, 85% of which were polymorphonuclear leukocytes. The protein concentration was 60 mg/100 ml; glucose level, 60 mg/100 ml; smears for bacteria and acid-fast bacilli, negative; and cultures, sterile. Treatment with intravenously administered ampicillin, 12

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