Article

OBJECTIVE: To discuss the importance of a thorough clinical examination and
evaluation of symptoms in upper and lower motor neurone lesions. DESIGN: Case
report. METHODS: Post-polio outpatient clinic, Danderyds University Hospital,
Stockholm, Sweden. We describe here two patients with a past history of
poliomyelitis, who were experiencing increasing muscular weakness. Clinical
evaluation led to diagnoses of spinal cord injury and statin myopathy,
respectively. CONCLUSION: In order to make a correct diagnosis it is essential to
distinguish between lower and upper motor neurone lesions. In the case of a lower
motor neurone disorder a neurophysiological examination is necessary for a
correct diagnosis, and is a prerequisite for adequate treatment and rehabilitation.

Langue : ANGLAIS