http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/1998/03/Cases/Poliomyelitis.aspxA 42-year-old male presented with weakness of the right leg and right arm. Three days later, the patient developed flaccid quadriplegia, with absent deep tendon reflexes. Sensation remained intact. Electromyography was consistent with a lower motor neuron syndrome. A WBC/ml count of 175 with 100% lymphocytes was found in the spinal fluid. CT of the head, MR of the brain, and duplex sonography of the carotids were normal. The patient denied fever, rash, diarrhea, upper respiratory infection, headache, foreign travel, and risk factors for HIV. Twenty-eight days previously, the patient's 13-week old infant had received live attenuated oral poliovirus vaccine. An MR of the cervical spine was performed.Tuesday, 01 Feb 2005 13:47:46 GMT