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Acute anterior poliomyelitis: a review of cases and literature

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McIntoshD_1942redux.pdf (24.45Mb)
Date
1942
Author
McIntosh, Donald
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Abstract
 
 
A historical sketch of poliomyelitis is given. The clinical manifestations, treatment and results in cases of poliomyelitis are described.
 
The results of cases reported to have been treated by serum are analysed and the conclusion reached that serum is of no value in the treatment of the disease.
 
There is no known method of successful prophylaxis.
 
80% of the adult population are immune to the disease.
 
Subclinical attacks are common. The tracing of case to case infection is rare.
 
The necessity for early splintage and movement is emphasised.
 
children who are so severely paralysed as to require the use of a respirator have a very bad prognosis as to life and also as to function.
 
The grading of muscle power is described and charts submitted showing the progress of cases in the acute stage, three months after the acute stage, and of cases admitted years after the acute stage.
 
The chances of individual muscles recovering are given and the importance of muscle charts in assessing prognosis is shown.
 
most of the recovery takes place in the first year under efficient treatment.
 
Recovery may take place under treatment in cases hitherto untreated after many years.
 
Complications are described.
 
A bibliography is appended.
 
URI
http://hdl.handle.net/1842/35246
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