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Case Report 


Hirayama Disease: A Rare Clinical Entity

Salman Mansoor, Kevin Murphy, Mohammad Hijaz Adenan, Eimear Joyce, Orla Hardiman, Michael Hennessey, Siobhan Kelly.

Abstract
Hirayama disease is a rare neurological entity which can present in any setting emergency departments included. These cases are usually diagnosed after carefully excluding other conditions. Intraspinal lesions (eg, syringomyelia, syringobulbia, or tumor) can present with symptoms that can mimic hirayama disease. We report the case of a 23-year old man who presented with an 18 month history of numbness, tingling and painless curling of the 4th and 5th digits.The symptoms did not progress beyond the 12 month period. The right side and bulbar function remained unaffected throughout. Based on the age of onset, arrest of progression after a period of deterioration, imaging features and neurophysiological findings a diagnosis of Hirayama Disease was made.

Key words: Hirayama Disease; Monomelic Amyotrophy; Motor neuron disease


 
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How to Cite this Article
Pubmed Style

Mansoor S, Murphy K, Adenan MH, Joyce E, Hardiman O, Hennessey M, Kelly S. Hirayama Disease: A Rare Clinical Entity. SAJEM. 2019; 2(2): 37-39. doi:10.5455/sajem.020204


Web Style

Mansoor S, Murphy K, Adenan MH, Joyce E, Hardiman O, Hennessey M, Kelly S. Hirayama Disease: A Rare Clinical Entity. http://www.sajem.org/?mno=51770 [Access: December 07, 2019]. doi:10.5455/sajem.020204


AMA (American Medical Association) Style

Mansoor S, Murphy K, Adenan MH, Joyce E, Hardiman O, Hennessey M, Kelly S. Hirayama Disease: A Rare Clinical Entity. SAJEM. 2019; 2(2): 37-39. doi:10.5455/sajem.020204



Vancouver/ICMJE Style

Mansoor S, Murphy K, Adenan MH, Joyce E, Hardiman O, Hennessey M, Kelly S. Hirayama Disease: A Rare Clinical Entity. SAJEM. (2019), [cited December 07, 2019]; 2(2): 37-39. doi:10.5455/sajem.020204



Harvard Style

Mansoor, S., Murphy, . K., Adenan, . M. H., Joyce, . E., Hardiman, . O., Hennessey, . M. & Kelly, . S. (2019) Hirayama Disease: A Rare Clinical Entity. SAJEM, 2 (2), 37-39. doi:10.5455/sajem.020204



Turabian Style

Mansoor, Salman, Kevin Murphy, Mohammad Hijaz Adenan, Eimear Joyce, Orla Hardiman, Michael Hennessey, and Siobhan Kelly. 2019. Hirayama Disease: A Rare Clinical Entity. South Asian Journal of Emergency Medicine, 2 (2), 37-39. doi:10.5455/sajem.020204



Chicago Style

Mansoor, Salman, Kevin Murphy, Mohammad Hijaz Adenan, Eimear Joyce, Orla Hardiman, Michael Hennessey, and Siobhan Kelly. "Hirayama Disease: A Rare Clinical Entity." South Asian Journal of Emergency Medicine 2 (2019), 37-39. doi:10.5455/sajem.020204



MLA (The Modern Language Association) Style

Mansoor, Salman, Kevin Murphy, Mohammad Hijaz Adenan, Eimear Joyce, Orla Hardiman, Michael Hennessey, and Siobhan Kelly. "Hirayama Disease: A Rare Clinical Entity." South Asian Journal of Emergency Medicine 2.2 (2019), 37-39. Print. doi:10.5455/sajem.020204



APA (American Psychological Association) Style

Mansoor, S., Murphy, . K., Adenan, . M. H., Joyce, . E., Hardiman, . O., Hennessey, . M. & Kelly, . S. (2019) Hirayama Disease: A Rare Clinical Entity. South Asian Journal of Emergency Medicine, 2 (2), 37-39. doi:10.5455/sajem.020204