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Am J Dis Child. 1924;27(2):163-191. doi:10.1001/archpedi.1924.01920080070007.
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ACUTE POLIOMYELITIS  Recent studies of Wahler238 confirm the experience of others that the prognosis for the acute stage of poliomyelitis is favorable in the absence of symptoms of a lesion of the medulla oblongata. Very marked and extended paralyses at this stage as a rule become regressive and limited to definitely circumscribed foci. The prognosis for the postacute stage as to restitution is doubtful. Those cases that were discharged with no or with insignificant improvement revealed practically no farther amelioration even with orthopedic and surgical treatment during the observation of from two to three years. In the cases showing a marked tendency toward improvement at the end of the acute stage, late reexamination revealed an additional, often striking, improvement, perhaps due to continued treatment. The prevention of deformities is of great importance, and children must be kept under observation during the entire growing period.Paralysis affecting the upper extremities


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