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October 1982

Neurologic Manifestations of Acute Hemorrhagic Conjunctivitis

Author Affiliations
Medical Research Centre Department of Neurology Bombay Hospital 12, Marine Lines Bombay 400020, India
Arch Neurol. 1982;39(10):671-672. doi:10.1001/archneur.1982.00510220069021

To the Editor.—  Neurologic manifestations in relation to acute hemorrhagic conjunctivitis (AHC) have been reported by various authors.1-4 During the recent epidemic of AHC in Bombay, we saw 42 patients with neurologic manifestations from May to September 1981. The patients can be subdivided into three categories: (1) 25 had limb muscle weakness only, (2) 12 had isolated cranial nerve palsy, and (3) five had a combination of limb muscle weakness and cranial nerve palsy.The limb weakness simulated poliolike illness. It was acute in onset, flaccid, areflexic, and asymmetric. It involved the proximal muscles more than the distal muscles. Most patients complained of severe muscle pain coinciding with or preceding the onset of paralysis. Except in one patient with extensor plantar response there was no evidence of pyramidal tract involvement or sensory deficit in the whole group. We feel that the term "poliolike syndrome" is more appropriate to describe