Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 24 , ISSUE 2 ( June, 2013 ) > List of Articles

CASE REPORT

A Case Report of Hirayama Disease

Deepak Kumar, Gogia Virinder Singh

Citation Information : Kumar D, Singh GV. A Case Report of Hirayama Disease. Indian J Phy Med Rehab 2013; 24 (2):51-55.

DOI: 10.5005/ijopmr-24-2-51

Published Online: 00-06-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Hirayama disease is also known as juvenile muscular amyotrophy of distal upper limb. This type of condition is rare and difficult to differentiate this disease from other disease with similar symptoms such as motor neuron disease. Very few cases reported in Medical science and its management is not much proved. But in our case a 20-year-old male came to department with complaint of slowly progressive muscle atrophy and weakness in distal U/L of right side. This disease had confirmed by MRI of flexed cervical region. Patient was managed by similar protocol: Vitamin B12, exercise of hand, cervical collar and isometric neck muscle exercise. Got benefit to patient for cessation of progressive of disease. It is necessary to early diagnosis of Hirayama disease so that patient got early management. Surgical management is preserved to late stage. In case of similar symptoms of cold paresis, amyotrophy, weakness of distal upper limb then a flexion MRI study should be performed to confirm the diagnosis.


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