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April 02, 2019; 92 (14) NeuroImages

Poliomyelitis in ancient Greece (5th century BC)?

View ORCID ProfileElena Varotto, Valentino Nizzo, Francesco M. Galassi
First published April 1, 2019, DOI: https://doi.org/10.1212/WNL.0000000000007350
Elena Varotto
From Centre for Cretan Archaeology (E.V.), Department of Humanities (DISUM), University of Catania; National Etruscan Museum of Villa Giulia (V.N.), Rome; Santa Lucia Clinic–Polydiagnostic Medical Centre (E.V., F.M.G.), Siracusa, Italy; and Archaeology (F.M.G.)., College of Humanities, Arts and Social Sciences, Flinders University, Adelaide, Australia.
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Valentino Nizzo
From Centre for Cretan Archaeology (E.V.), Department of Humanities (DISUM), University of Catania; National Etruscan Museum of Villa Giulia (V.N.), Rome; Santa Lucia Clinic–Polydiagnostic Medical Centre (E.V., F.M.G.), Siracusa, Italy; and Archaeology (F.M.G.)., College of Humanities, Arts and Social Sciences, Flinders University, Adelaide, Australia.
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Francesco M. Galassi
From Centre for Cretan Archaeology (E.V.), Department of Humanities (DISUM), University of Catania; National Etruscan Museum of Villa Giulia (V.N.), Rome; Santa Lucia Clinic–Polydiagnostic Medical Centre (E.V., F.M.G.), Siracusa, Italy; and Archaeology (F.M.G.)., College of Humanities, Arts and Social Sciences, Flinders University, Adelaide, Australia.
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Citation
Poliomyelitis in ancient Greece (5th century BC)?
Elena Varotto, Valentino Nizzo, Francesco M. Galassi
Neurology Apr 2019, 92 (14) 678-679; DOI: 10.1212/WNL.0000000000007350

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The antiquity of poliomyelitis is disputed, since only inconclusive evidence has been adduced for the Ancient World so far.1 A ca 480 bc Attic peliké vase imported into Etruria (ancient Central Italy) depicting the mythical rendezvous between Heracles and Geras (figure, A) shows the latter (figure, B), the personification of Old Age, helping himself with a stick. The high degree of realism of this artwork, emerging in this historical period, allows one to identify extensive lower limb muscular atrophy and an unnatural eye-catching kyphoscoliotic spinal deformity. While previously considered—prudently yet perhaps too hurriedly—but a depiction of senile emaciation and pulmonary emphysema,2 the characteristically vivid clinical association leads us to hypothesize that Geras' anatomical features are compatible with those of a polio survivor exhibiting the incapacitating and long-term outcomes of the spinal form of paralytic poliomyelitis.

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Figure Red figure Attic peliké and detail

(A) Red figure Attic peliké from Tomb 432 of the Banditaccia Necropolis (Cerveteri, ancient Etruria, Lazio Region, Italy). Inv. No.: 48238 MiBAC. National Etruscan Museum of Villa Giulia (Rome). Photographs by Mauro Benedetti. (B) Detail of Geras shows the high degree of spinal deformity and muscular atrophy.

Author contributions

E. Varotto: concept creation, data acquisition, main writing. V. Nizzo: critical revision of the manuscript. F.M. Galassi: study design, data processing, writing, study supervision.

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No targeted funding reported.

Disclosure

The authors report no disclosures relevant to the manuscript. Go to Neurology.org/N for full disclosures.

Footnotes

  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • © 2019 American Academy of Neurology

References

  1. 1.↵
    1. Galassi FM,
    2. Habicht ME,
    3. Rühli FJ
    . Poliomyelitis in ancient Egypt? Neurol Sci 2017;38:375.
    OpenUrl
  2. 2.↵
    1. Grmek D,
    2. Gourevitch D
    . Le Malattie nell'Arte Antica. Firenze: Giunti Editore; 2000:136–139.

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