Poliomyelitis in ancient Greece (5th century BC)?

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 pelik´e 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.