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Pediatric monomelic amyotrophy: Evidence for poliomyelitis in vulnerable populations
Author(s) -
McMillan Hugh J.,
Darras Basil T.,
Kang Peter B.,
Saleh Firas,
Jones H. Royden
Publication year - 2009
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.21401
Subject(s) - medicine , amyotrophy , poliomyelitis , myelitis , pediatrics , spinal cord , pathology , atrophy , psychiatry
Pediatric monomelic amyotrophy may present a diagnostic challenge. This is particularly true for immigrant or adopted children who have little or no available medical history. We present clinical and electrophysiological data from 11 children with monomelic amyotrophy who had electrophysiological evidence of a unilateral or profoundly asymmetric motor neuronopathy. The cause of amyotrophy in each case is most consistent with prior: (1) wildtype poliovirus myelitis; (2) “polio‐like” virus myelitis, or (3) vaccine associated paralytic poliomyelitis. Muscle Nerve, 2009