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Hirayama disease

Case contributed by Andrew Lawson
Diagnosis certain

Presentation

Progressive upper limb weakness.

Patient Data

Age: 20 years
Gender: Male
mri

Spinal cord thinning and atrophy between C4-6 with ill-defined cord signal change.

On flexion view, there is forward bowing of the posterior theca with venous engorgement in the posterior spinal space.

Case Discussion

A good example of Hirayama disease.

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