Clinical presentations of acute paralytic poliomyelitis.

The concern about the emerging profile of poliovirus associated morbidity and mortality in the 21st century is legitimate [Paul Y. Clinical presentations of acute paralytic poliomyelitis. Vaccine 2005;23:5283]. Rather than case reports of several thousands, patients number at the most in few thousands. Furthermore, better diagnostic techniques have been offered to those handling patients with clinical syndromes resembling acute flaccid paralysis. Bizarre and unconventional clinical presentations might well be a rule than exception in near future. Furthermore, MRI can be used in the diagnosis of anterior horn infection and would play an important role in diagnosis of poliomyelitis [Kornreich L, Dagan O, Grunebaum M. MRI in acute poliomyelitis. Neuroradiology 1996;38(4):371-2]. Imaging techniques would be important in diagnosis of acute flaccid paralysis.