23 ago. 2012

Abrahão Augusto Juviniano Quadros post-poliomyelitis syndrome

Frequency and clinical manifestations of post-poliomyelitis syndrome in a brazilian tertiary care center

Frequência e manifestações clínicas da síndrome pós-poliomielite em um centro terciário brasileiro

Abrahão Augusto Juviniano QuadrosI; Mônica Tilli Reis Pessoa CondeII; Luis Fabiano MarinIII; Helga Cristina Almeida SilvaIII; Tatiana Mesquita e SilvaIII; Maria Bernadete Eduardo de PaulaIV; Roberto Dias Batista PereiraIII; Paulo Eduardo RamosIII; Gislane AbeIII; Acary Souza Bulle OliveiraIII
IDepartment of Neurology and Neurosurgery, Division of Neuromuscular Disorders, Federal University of São Paulo (Unifesp); Neurologic Rehabilitation Service of the Policlínica at Centro Universitário Adventista de São Paulo (Unasp), São Paulo SP, Brazil
IICenter for Disease Control and Prevention of the Municipal Secretary Office of Health, São Paulo SP, Brazil
IIIDepartment of Neurology and Neurosurgery, Division of Neuromuscular Disorders, Federal University of São Paulo (Unifesp), São Paulo SP, Brazil
IVCenter for Vigilance Epidemiology of the State Secretary Office of Health, São Paulo SP, Brazil


OBJECTIVE: To determine the frequency and clinical manifestations of patients with post-poliomyelitis syndrome (PPS) in a Brazilian division of neuromuscular disorders.
METHODS: A total of 167 patients with prior history of paralytic poliomyelitis was investigated for PPS, based on international diagnostic criteria. Other variables analyzed were: gender, race, age at poliomyelitis infection, age at PPS onset, and PPS symptoms.
RESULTS: One hundred and twenty-nine patients presented PPS, corresponding to 77.2% of the studied population. 62.8% were women and 37.2% were men. Mean age of patients with PPS at onset of PPS symptoms was 39.9±9.69 years. Their main clinical manifestations were: new weakness in the previously affected limbs (69%) and in the apparently not affected limbs (31%); joint pain (79.8%); fatigue (77.5%); muscle pain (76%); and cold intolerance (69.8%).
CONCLUSIONS: Most patients of our sample presented PPS. In Brazil, PPS frequency and clinical features are quite similar to those of other countries.
Key words: post-polio syndrome, poliomyelitis, prevalence.

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