Post-polio Syndrome, Spinal Cord Injury and Statin Myopathy: Double Trouble or Incorrect Diagnosis? Two Case Reports

Author: Werhagen Lars   Borg Kristian  

Publisher: Medical Journals Limited

ISSN: 1650-1977

Source: Journal of Rehabilitation Medicine, Vol.43, Iss.8, 2011-07, pp. : 734-735

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Abstract

Objective: To discuss the importance of a thorough clinical examination and evaluation of symptoms in upper and lower motor neurone lesions.Design: Case report.Methods: post-polio outpatient clinic, Danderyds University Hospital, stockholm, sweden. We describe here two patients with a past history of poliomyelitis, who were experiencing increasing muscular weakness. Clinical evaluation led to diagnoses of spinal cord injury and statin myopathy, respectively.Conclusion: In order to make a correct diagnosis it is essential to distinguish between lower and upper motor neurone lesions. In the case of a lower motor neurone disorder a neurophysiological examination is necessary for a correct diagnosis, and is a prerequisite for adequate treatment and rehabilitation.