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Kathleen M. Foley, MD; H. Richard Beresford, MD
Manhasset, NY

Arch Neurol. 1974;31(2):142.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Dr. Poser is correct in suggesting that the patient could have had a concomitant "bilateral symmetrical radiculoneuropathy," but it seems unnecessary to postulate this when the findings are best explained on the basis of a myelopathy. While the CSF protein level of 120 mg/100 ml is high for acute poliomyelitis, it is not beyond the range of what has been previously described, and it was accompanied by a substantial pleocytosis. We did not believe an electromyogram was a necessary diagnostic adjunct, but certainly it could have been done. We were careful to point out that attempts at viral isolation were unsuccessful. We nevertheless believe that the polio antibody determinations, plus the occurrence of the patient's illness in the context of proved polio among his contacts, support the diagnosis of acute poliomyelitis. Obviously, a successful viral isolation would have strengthened the diagnostic conclusion.

We are indebted to Dr. . . . [Full Text PDF of this Article]

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