EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

MRI FINDINGS OF HIRAYAMA DISEASE – A RARE CAUSE OF DISTAL UPPER LIMB WEAKNESS

Dr. Bhavna Arora*, Dr. Sunita Purohit and Dr. Pradeep Goyal

ABSTRACT

Hirayama disease, also termed non-progressive juvenile spinal muscular atrophy of the distal upper limbs, is a type of cervical myelopathy related to flexion movements of the neck.[1,3] It occurs mainly in young males between the ages of 15 - 25 years.[4] Here we report the MRI findings in two patients- a 16 years old young male presenting with insidious onset weakness, atrophy of left distal upper limb and another patient, a 23 years old male with bilateral distal upper limb weakness since 6 months. Both these young males had atrophy of distal upper limb and Hirayama disease as their clinico-radiological diagnosis. Magnetic resonance imaging (MRI) revealed mild short segmental atrophy and altered intramedullary signal of lower cervical cord in a neutral position. Anterior displacement of the posterior dura compressing the thecal sac and prominent dorsal epidural space with flow voids in flexion MRI study was observed. Both the patients were managed conservatively.

Keywords: Hirayama disease, flexion MRI, cervical cord, dura.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )