title: Post-polio syndrome, spinal cord injury and statin myopathy: double trouble or incorrect diagnosis? Two case reports.
abstract: OBJECTIVE
  To discuss the importance of a thorough clinical examination and evaluation of symptoms in upper and lower motor neurone lesions.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Division of Rehabilitation Medicine, Department of Clinical Sciences, Karolinska Institutet at Danderyd Hospital, Stockholm, Sweden. lars.werhagen@ki.se
authors.forename: Lars
authors.initials: L
authors.lastname: Werhagen
authors.forename: Kristian
authors.initials: K
authors.lastname: Borg
mesh_terms: D000369:Aged, 80 and over; D000924:Anticholesteremic Agents / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000009:adverse effects*; D008875:Middle Aged; D018908:Muscle Weakness / Q000139:chemically induced / Q000175:diagnosis*; D009135:Muscular Diseases / Q000139:chemically induced / Q000175:diagnosis*; D016262:Postpoliomyelitis Syndrome / Q000175:diagnosis*; D013119:Spinal Cord Injuries / Q000175:diagnosis*; D013130:Spinal Stenosis / Q000175:diagnosis*
chemical_list: D000924:Anticholesteremic Agents; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors