Two Cases of Hirayama Disease in a Pediatric Clinic / 대한소아신경학회지
Journal of the Korean Child Neurology Society
;
(4): 52-56, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-728827
ABSTRACT
We report two pediatric cases with Hirayama disease—a 16-year-old boy with a left wrist drop and a 14-year-old-boy with weakness and muscle atrophy of right hand. Motor nerve conduction study revealed decreased motor nerve action potential amplitudes in the ulnar nerve and radial nerve of the affected hands. The former patient showed normal magnetic resonance imaging (MRI) of the cervical spine, but the latter showed mild, asymmetric thinning of the anterior spinal cord at levels C5 to C7. Following active rehabilitation and avoidance of neck flexion, no further progression of neurological findings was noticed. These clinical findings were typical of Hirayama disease. We show that timely and accurate diagnosis for Hirayama disease is possible with awareness of disease history, careful physical examination, and the use of neurophysiological studies and MRI studies.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Exame Físico
/
Nervo Radial
/
Reabilitação
/
Medula Espinal
/
Coluna Vertebral
/
Nervo Ulnar
/
Punho
/
Potenciais de Ação
/
Imageamento por Ressonância Magnética
/
Atrofia Muscular
Tipo de estudo:
Estudo diagnóstico
Limite:
Adolescente
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of the Korean Child Neurology Society
Ano de publicação:
2018
Tipo de documento:
Artigo
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