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Poliomyelitis




               Caused by polioviruses, which affect AHC and motor nuclei of brain stem →

               lower motor neuron weakness.



               Criteria of weakness and paralysis :

               Acute onset

               lower motor neuron weakness

               Asymmetrical and spotty distribution → affecting mainly large muscle groups

               No sensory loss

               The course is maximum in the first few days then some regression may occurs

               Treatment:

               Acute stage: isolation and supportive treatment.

               Chronic stage: physiotherapy and orthopedic management.




                                      Guilllain Barre Syndrome (GBS)



               GBS is defined as: Post infectious polyneuropathy that cause demyelination in

               mainly motor nerves but sometimes also sensory and autonomic nerves
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