Bimelic Hirayama Disease : Clinical Dilemma Solved by Imaging
Joint Authors
Yadav, Siddharth
Gupta, Ritu
Jain, Shalabh
Gupta, Swarna
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-03-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Hirayama disease (juvenile muscular atrophy of distal upper extremity) is a cervical myelopathy predominantly affecting adolescent males.
It is characterized by progressive muscular weakness and atrophy of unilateral or asymmetrically bilateral distal upper limbs.
We report a case of an 18-year-male painter, who presented with gradually progressive, symmetrical bilateral weakness of hands and forearm for the last two years.
On the basis of clinical examination, a provisional diagnosis of lower motor neuron type of symmetrical distal weakness due to heavy metal intoxication was kept.
However, imaging studies helped in making a definitive diagnosis of Hirayama disease.
The patient was advised cervical collar, and there was no progression in symptoms after six months of followup.
Due to the rarity of bilateral symmetrical involvement in Hirayama disease, it remains obscured or unsuspected clinically, and MRI plays a pivotal role in diagnosis.
American Psychological Association (APA)
Jain, Shalabh& Yadav, Siddharth& Gupta, Swarna& Gupta, Ritu. 2013. Bimelic Hirayama Disease : Clinical Dilemma Solved by Imaging. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-484601
Modern Language Association (MLA)
Jain, Shalabh…[et al.]. Bimelic Hirayama Disease : Clinical Dilemma Solved by Imaging. Case Reports in Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-484601
American Medical Association (AMA)
Jain, Shalabh& Yadav, Siddharth& Gupta, Swarna& Gupta, Ritu. Bimelic Hirayama Disease : Clinical Dilemma Solved by Imaging. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-484601
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-484601