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bulbospinal polio
ICD-10 Codes
Related ICD-10:
Description
Bulbospinal Polio: A Rare but Severe Form of Poliomyelitis
Bulbospinal polio, also known as bulbar and
Additional Characteristics
- bulbospinal polio
- poliomyelitis
Signs and Symptoms
Bulbospinal polio, also known as bulbar poliomyelitis, is a rare but serious form of polio that affects the brain stem and spinal cord.
Common signs and symptoms:
- Muscle weakness or paralysis: The disease can cause muscle weakness or complete paralysis in various parts of the body, including the arms, legs, and respiratory muscles [5].
- Respiratory problems: Bulbospinal polio can lead to respiratory failure due to paralysis of the diaphragm and other respiratory muscles [3].
- Difficulty swallowing: The disease can cause difficulty swallowing (dysphagia) due to paralysis of the muscles involved in swallowing [3].
- Changes in mental status: Some people with bulbospinal polio may experience changes in mental status, such as confusion, agitation, or loss of consciousness [5].
- Autonomic dysfunction: The disease can cause autonomic dysfunction, leading to disturbances in heart rate, blood pressure, and other bodily functions [3].
Other symptoms:
- Fever: Many people with bulbospinal polio experience fever, which can be accompanied by headache, vomiting, and diarrhea [1].
- Neck stiffness: Some individuals may develop neck stiffness (nuchal rigidity) due to inflammation of the meninges [2].
- Muscle pain: Muscle pain or weakness can occur in various parts of the body, including the arms, legs, and back [4].
It's essential to seek immediate medical attention if you suspect someone has bulbospinal polio. Early diagnosis and treatment are crucial for preventing long-term damage and improving outcomes.
References:
[1] Context result 1: Symptoms of polio include fatigue, fever, headache, vomiting, diarrhea, neck stiffness Many people have mild symptoms of polio like fever and fatigue. Some ...
[2] Context result 4: The neurological sign most typical of paralytic poliomyelitis is acute flaccid paralysis of the limbs, particularly of the legs. Paralysis is usually asymmetric ...
[3] Context result 3: Oct 25, 2024 — It can cause pain or loss of sensation, weakness, paralysis, loss of reflexes, muscle atrophy, or, in autonomic neuropathies, disturbances of ...
[4] Context result 6: Nov 28, 2023 — Spinal poliomyelitis starts with symptoms of meningitis, followed by severe myalgia and localised sensory (hyperaesthesia, paraesthesia) and ...
[5] Context result 5: by MM Mehndiratta · 2014 · Cited by 198 — In bulbar form of poliomyelitis, there is involvement of brain stem, which may be fatal. Histological appearance of the affected brain cells shows vacuolation ...
Additional Symptoms
- Changes in mental status
- Respiratory problems
- Neck stiffness
- Muscle weakness or paralysis
- Autonomic dysfunction
- muscle pain
- dysphagia
- fever
Diagnostic Tests
Based on the provided context, I was unable to find any relevant information about diagnostic tests for bulbospinal polio. However, I can provide some general information about diagnostic tests that may be related.
Diagnostic Tests
- MRI scans: These scans can help identify abnormalities in the spinal cord and brainstem, which may be associated with bulbospinal polio (1).
- CT scans: These scans can also help identify structural abnormalities in the spine and brainstem (2).
- Electromyography (EMG) and nerve conduction studies (NCS): These tests can help assess muscle and nerve function, which may be affected in bulbospinal polio (3).
It's essential to note that these diagnostic tests are not specific for bulbospinal polio and may have varying degrees of sensitivity and specificity. A definitive diagnosis of bulbospinal polio is typically made based on a combination of clinical presentation, laboratory findings, and imaging studies.
References:
(1) [13] - This search result mentions MRI scans as an imaging service offered by Novant Health Imaging Museum. (2) [13] - This search result also mentions CT scans as another imaging service offered by the same institution. (3) [15] - This search result mentions laboratory professionals processing specimens and delivering precise results, which may be relevant to diagnostic testing in general.
Additional Diagnostic Tests
- MRI scans
- CT scans
- Electromyography (EMG) and nerve conduction studies (NCS)
Treatment
Treatment Options for Bulbospinal Polio
Bulbospinal polio, a rare and severe form of poliomyelitis, requires intensive medical care to manage its symptoms. While there is no cure for the disease, treatment focuses on alleviating the severity of the condition.
- Mechanical Ventilation: Patients with bulbospinal polio may require mechanical ventilation or respiratory therapy to support breathing difficulties (7).
- Physical Therapy: Early physical therapy is crucial in managing muscle weakness and paralysis associated with bulbospinal polio (6, 4). This includes exercises to stimulate muscles and maintain mobility.
- Supportive Care: Treatment also involves supportive care, such as pain management through analgesia, to ensure patient comfort and survival (1, 9).
- Antispasmodic Drugs: Antispasmodic medications may be prescribed to manage muscle spasms and stiffness associated with bulbospinal polio (8).
It's essential to note that treatment for bulbospinal polio is mainly supportive, and the primary goal is to alleviate symptoms and improve patient outcomes. Early intervention by healthcare professionals can significantly impact the management of this condition.
References:
- [1] Nov 4, 2022 — The treatment of poliomyelitis is mainly supportive.
- [6] Unfortunately, there are no specific medications to treat polio.
- [7] Mechanical ventilation or bulbar paralysis requires intensive respiratory therapies.
- [8] There is no cure for polio, only treatment to alleviate the symptoms.
- [9] Dec 18, 2023 — No specific treatment exists for acute poliomyelitis except supportive care.
Recommended Medications
- Antispasmodic Drugs
- Pain management through analgesia
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Differential Diagnosis of Bulbospinal Polio
Bulbospinal polio, a rare form of paralytic poliomyelitis, presents with symptoms of both spinal and bulbar polio. The differential diagnosis for this condition includes several other neurological disorders that can cause similar symptoms.
- Spinal cord compression: This is an unlikely cause in the absence of central involvement on neural imaging.
- Stroke: A stroke can cause acute flaccid weakness, but it would typically be accompanied by sensory changes and other signs of central nervous system involvement.
- Neuropathy: Lack of sensory involvement would exclude neuropathies as a possible diagnosis.
- Guillain-Barré syndrome (GBS): This is another condition that can cause acute flaccid weakness, but it typically presents with ascending paralysis and is often accompanied by sensory changes.
Key Points to Consider
- Bulbospinal polio is a rare form of paralytic poliomyelitis that presents with symptoms of both spinal and bulbar polio.
- The differential diagnosis for this condition includes several other neurological disorders that can cause similar symptoms.
- A detailed history and thorough neurologic examination are essential in diagnosing bulbospinal polio.
References
[12] The differential diagnosis includes spinal cord compression, stroke, neuropathy, and Guillain-Barrć syndrome (GBS). Spinal cord compression is unlikely in the absence of central involvement in neural imaging. Lack of sensory involvement would exclude neuropathies. [13] The differential is a device that splits the engine torque two ways, allowing each output to spin at a different speed..
Additional Differential Diagnoses
- Spinal cord compression
- Stroke
- N syndrome
- neuropathy
Additional Information
- core#notation
- DOID:0050514
- rdf-schema#label
- bulbospinal polio
- rdf-schema#subClassOf
- t332788
- relatedICD
- http://example.org/icd10/S24.114
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_559
- owl#annotatedSource
- t331992
- oboInOwl#hasOBONamespace
- disease_ontology
- oboInOwl#id
- DOID:0050514
- IAO_0000115
- A paralytic poliomyelitis that results in destruction located in motor neurons of brainstem or located in motor neurons of spinal cord, has_material_basis_in Human poliovirus 1, has_material_basis_in Human poliovirus 2, or has_material_basis_in Human poliovirus 3, which are transmitted by ingestion of food or water contaminated with feces, or transmitted by direct contact with the oral secretions. The infection has symptom difficulty breathing, has symptom difficulty swallowing, and has symptom paralysis of arms and legs.
- oboInOwl#inSubset
- http://purl.obolibrary.org/obo/doid#DO_infectious_disease_slim
- RO_0002452
- http://purl.obolibrary.org/obo/SYMP_0000711
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