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Bulbar polio

MedGen UID:
45982
•Concept ID:
C0032372
•
Disease or Syndrome
Synonyms: Bulbar Polio; Bulbar Poliomyelitis; Medullary Involvement Poliomyelitis; Polio, Bulbar; Poliomyelitis, Bulbar; Poliomyelitis, Medullary Involvement
SNOMED CT: Acute paralytic poliomyelitis, bulbar (64764001); Acute infantile paralysis (64764001); Acute anterior poliomyelitis (64764001); Acute anterior bulbar polioencephalomyelitis (64764001); Anterior acute poliomyelitis (398327006); Acute paralytic bulbar poliomyelitis (64764001)
 
Monarch Initiative: MONDO:0005684

Definition

A form of paralytic poliomyelitis affecting neurons of the medulla oblongata of the brain stem. Clinical features include impaired respiration, hypertension, alterations of vasomotor control, and dysphagia. Weakness and atrophy of the limbs and trunk due to spinal cord involvement is usually associated. (From Adams et al., Principles of Neurology, 6th ed, p765) [from MONDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVBulbar polio

Professional guidelines

PubMed

W. Ritchie Russell, A.B. Baker, and Fred Plum: Pioneers of ventilatory management in poliomyelitis.
Wijdicks EF
Neurology 2016 Sep 13;87(11):1167-70. doi: 10.1212/WNL.0000000000003098. PMID: 27621379
Guillain-Barré Syndrome in India: population-based validation of the Brighton criteria.
Mateen FJ, Cornblath DR, Jafari H, Shinohara RT, Khandit D, Ahuja B, Bahl S, Sutter RW
Vaccine 2011 Dec 6;29(52):9697-701. Epub 2011 Oct 11 doi: 10.1016/j.vaccine.2011.09.123. PMID: 22001121Free PMC Article
Management of post-polio respiratory sequelae.
Bach JR
Ann N Y Acad Sci 1995 May 25;753:96-102. doi: 10.1111/j.1749-6632.1995.tb27535.x. PMID: 7611664

Recent clinical studies

Etiology

Poliomyelitis with special reference to immunization status.
Mathur GP, Mathur S, Gupta V, Bhalla M, Bhalla JN, Tripathi VN, Kini SM, Singh S
Indian Pediatr 1991 Jun;28(6):625-7. PMID: 1748510
Near-drowning, scuba diving: an unusual late sequela of bulbar polio.
Rubin AM, Blair RL, Alberti PW
J Laryngol Otol 1984 Jul;98(7):733-6. PMID: 6747455

Diagnosis

Dysphagia and post-polio syndrome: past, present, and future.
Sonies BC
Semin Neurol 1996 Dec;16(4):365-70. doi: 10.1055/s-2008-1040995. PMID: 9112316
Dysphagia in individuals with no history of bulbar polio.
Dowhaniuk M, Schentag CT
Ann N Y Acad Sci 1995 May 25;753:405-7. doi: 10.1111/j.1749-6632.1995.tb27572.x. PMID: 7611657

Therapy

Bilateral vocal cord paralysis after radical cystectomy in a patient with a history of bulbar polio.
Macario A, Mackey S, Terris D
Anesth Analg 1997 Nov;85(5):1171-2. doi: 10.1097/00000539-199711000-00038. PMID: 9356120
Poliomyelitis with special reference to immunization status.
Mathur GP, Mathur S, Gupta V, Bhalla M, Bhalla JN, Tripathi VN, Kini SM, Singh S
Indian Pediatr 1991 Jun;28(6):625-7. PMID: 1748510
Near-drowning, scuba diving: an unusual late sequela of bulbar polio.
Rubin AM, Blair RL, Alberti PW
J Laryngol Otol 1984 Jul;98(7):733-6. PMID: 6747455

Prognosis

Poliomyelitis with special reference to immunization status.
Mathur GP, Mathur S, Gupta V, Bhalla M, Bhalla JN, Tripathi VN, Kini SM, Singh S
Indian Pediatr 1991 Jun;28(6):625-7. PMID: 1748510

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