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J Korean Neurol Assoc. 1988;6(1):110-115.
- A Case of Postpoliomyelitis Muscular Atrophy
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Jin Yong Choi, M.D., Kyung Duk Lee, M.D., Oh Sang Kwon, M.D.,
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Byung Kun Min, M.D., Je Geun Chi, M.D.
- Postpoliomyelitis Muscular atrophy 1예
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최진영, 이경덕, 권오상, 민병근, 지제근
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중앙대학교 신경과. 서울대학교 병리학.
- Abstract
- A relationship between preceding acute paralytic poliomyelitis and the later development of motor neuron disease has only occasionally been suggested since it was first postulated by Charcot in 1875.
The authors recently experienced a 20-year-old male who was considered to have
postpoliomyelitis muscular atrophy. We report this case in view of its rarity and
necessity of differential diagnosis from other neuromuscular disorders.
Clinical presentation included slowly progressive muscle wasting of left thigh for 4
years, mild weakness of left arm and both thigh, intermittent fasciculation, and previous
history of acute paralytic poliomyelitis. Electromyographic findings showed fibrillation
potentials, positive sharp waves, fasciculations, giant motor unit potentials and reduced
interference patterns. Muscle biopsy revealed scattered small angulated fibers, individual
myofiber degeneration and mild inflammatory cell infiltration.
Keywords :
- 초록
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