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Neurological Sciences

, Volume 38, Issue 2, pp 375–375 | Cite as

Poliomyelitis in Ancient Egypt?

  • Francesco M. GalassiEmail author
  • Michael E. Habicht
  • Frank J. Rühli
Letter to the Editor

Keywords

Cane Congenital Malformation Clubfoot Poliomyelitis National Museum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Although asymptomatic in 95 % of cases, in 1 % of them poliomyelitis involves the central nervous system resulting in muscular weakness and acute flaccid paralysis. This has meant a heavy health burden for millions in the past. Global efforts combining surveillance, financial support to developing countries and immunization in the last 30 years have achieved a 99 % decrease in cases of poliomyelitis. However, since no real cure exists, a lot of effort has still to be made [1].

The antiquity of the condition is accepted, and commonly even traced back to Ancient Egypt. Two lines of evidence are adduced, pictorial and paleopathological. The ca. 1500 BCE stele of a priest called Ruma with a shorter leg and helping himself with a stick (Copenhagen, Ny Carlsberg Museum ÆIN 0134) is considered to be one of the first representations of a polio victim [2]. The famous relief in Berlin (Egyptian Museum Inventory 15000) showing a late Amarna royal couple (ca. thirteenth century BCE) is also regarded to show the king as a polio victim with a shortened leg using a cane, yet it is even possible that the relief is a counterfeit or the clumsy work of a lesser artist [3].

Pharaoh Siptah’s (1205–1187 BCE, Cairo, National Museum CG 61080) mummy shows a severely deformed Pes equinovarus-like left foot and a shortened left leg, a situation also encountered with the clubfoot of Khnumu-Nekht (ca. 2500 BCE, Manchester Museum, Inv. No. 21471): these may be interpreted either as evidence of neuromuscular disease suggestive of poliomyelitis infection [4] or (especially Siptah) as congenital malformations [2] or mummification-produced modifications.

In conclusion, while the paucity of potential cases identified may confirm that even in the past only a small percentage of cases manifested a full clinical syndrome, pictorial evidence alone gives no definitive proof, still lacking from mummies. Until further incontestable paleopathological data are produced, the presence of poliomyelitis in Ancient Egypt should be considered speculative.

Notes

Acknowledgments

The authors wish to thank the Mäxi Foundation for financial support of this research.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical statement

This article does not contain any studies with human participants or animals performed by any of the authors.

References

  1. 1.
    WHO Poliomyelitis. Online at: http://www.who.int/topics/poliomyelitis/en/. Accessed 11 Aug 2016
  2. 2.
    Leca A-P (1971) La médecine egyptienne au temps des Pharaons. Roger Dacosta, ParisGoogle Scholar
  3. 3.
    Krauss R (2009) Der Berliner „Spaziergang im Garten“—Antiker Murks oder moderne Fälschung? mit einem Exkurs über Heinrich Schäfers Ägyptenaufenthalt 1898–1901. Palarch’s J Archaeol Egypt Egyptol 6(1):1–20Google Scholar
  4. 4.
    Mitchell JK (1900) Study of a mummy affected with anterior poliomyelitis. Trans Assoc Am Phys 15:134–136Google Scholar

Copyright information

© Springer-Verlag Italia 2016

Authors and Affiliations

  • Francesco M. Galassi
    • 1
    Email author
  • Michael E. Habicht
    • 1
  • Frank J. Rühli
    • 1
  1. 1.Institute of Evolutionary MedicineUniversity of ZurichZurichSwitzerland

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