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June 1933


Am J Dis Child. 1933;45(6):1211-1215. doi:10.1001/archpedi.1933.01950190053005

In a forthcoming paper1 some reflex changes are described that occurred during the clinical course of poliomyelitis. Three hundred and eighty-six cases were studied during the past ten years. At the same time close attention was paid to the histories of upsets of the gastro-intestinal tract and urinary bladder, and all our patients were examined to discover especially the presence of neurologic involvements of either the intestine or the bladder. This paper contains an account of these studies.

THE GASTRO-INTESTINAL TRACT  It was difficult to determine beyond a doubt whether there was paresis or paralysis of the intestine, and, if there was involvement, where it was located. The difficulties can be appreciated when it is remembered that localized paralysis in the small intestine can exist without paresis or paralysis of the large intestine. The fact that there are evacuations of the lower intestine does not rule out the possibility