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Case Report
1 Department of Neurology – UNIG and Coordinator of the Academic Master's Degree in Neurology at the University of Vassouras, Rio de Janeiro, Brazil
2 Department of Medicine – UNIFESP – Paulista School of Medicine, São Paulo, São Paulo, Brazil
3 Iguaçu University – UNIG – Hospital Geral de Nova Iguaçu, Rio de Janeiro, Brazil
4 University of Vassouras, Rio de Janeiro, Brazil
Address correspondence to:
Antônio Marcos da Silva Catharino
Rua Gavião Peixoto 70, Room 811, CEP 24.2230-100, Icaraí, Niterói-RJ,
Brazil
Message to Corresponding Author
Article ID: 101261Z01MO2021
Introduction: Survivors of acute anterior poliomyelitis live with static neuromuscular sequelae of polio. In addition, some patients experience a syndrome of new or progressive disability, usually occurring decades after the disease itself. This syndrome, termed “post-polio syndrome” (PPS), has variable clinical manifestations.
Case Report: We report the case of PPS in a 58-year-old patient, who after 55 years had paralytic poliomyelitis, developed new symptoms of fatigue, muscular atrophy, dyspnea, depression, difficulties in deambulation, muscular and joint pain. In addition, we use historical landmarks to compare and discuss the present case.
Conclusion: Symptomatic relief and individualized rehabilitation strategies such as energy conservation and muscle strengthening exercise regimes are necessary. Despite a number of large clinical trials in PPS, no effective disease-modifying pharmacological treatments are currently available.
Keywords: Anterior horn, Motor neuron disease, Post-polio syndrome, Rehabilitation
Marco Orsini - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Acary Bulle Oliveira - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Antônio Marcos da Silva Catharino - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Valéria Camargo Silveira - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Carlos Henrique Melo Reis - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Carlos Eduardo Cardoso - Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Marco Orsini et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.