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Case ReportClinical Studies

Vietnamese Case Series of Hirayama Disease

NGUYEN DUY HUNG, NGUYEN MINH DUC, NGUYEN THANH VAN, LE THANH DUNG, HOANG DUC HA and NGUYEN DUY HUE
In Vivo July 2020, 34 (4) 2153-2157; DOI: https://doi.org/10.21873/invivo.12022
NGUYEN DUY HUNG
1Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
2Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam
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NGUYEN MINH DUC
3Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam
4Department of Radiology, Children's Hospital 2, Ho Chi Minh City, Vietnam
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  • ORCID record for NGUYEN MINH DUC
  • For correspondence: bsnguyenminhduc{at}pnt.edu.vn
NGUYEN THANH VAN
2Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam
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LE THANH DUNG
2Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam
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HOANG DUC HA
5Department of Radiology, Haiphong University of Medicine and Pharmacy, Hai Phong City, Vietnam
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NGUYEN DUY HUE
1Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
2Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam
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Figures

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    Figure 1.

    A 16-year-old male clinically suggested to have Hirayama disease. (A) and (B) The atrophy of dorsal interosseous muscles of the hand, the thenar, hypothenar muscles. (C) The atrophy of the medial aspect of forearm muscles with preservation of the brachioradialis.

  • Figure 2.
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    Figure 2.

    Cervical MRI of the 16-year-old patient in the neutral position. (A) Sagittal T2-weighted image showing a focal atrophy of the spinal cord at C5-C6 levels with no signal abnormality (arrow) (B) Axial T2-weighted image at C6 level showing flattening of the cord (arrow).

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    Figure 3.

    Cervical MRI of the 16-year-old patient in the flexion position. (A) Sagittal T2-weighted and (B) Axial T2-weighted images at C5 level showing the posterior dura was displaced anteriorly (arrow) causing the widening of posterior epidural space (asterisk) and spinal stenosis. The spinal cord at C5-C6 levels was compressed between the dura posteriorly and the vertebrae anteriorly.

  • Figure 4.
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    Figure 4.

    An 18-year-old male clinically suggested to have Hirayama disease. (A) and (B) The wasting of the dorsal interosseous muscle and the palmar aspect muscles, as well as weakness in finger extension. (C) The wasting of the medial aspect of forearm muscles with preservation of the brachioradialis.

  • Figure 5.
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    Figure 5.

    Cervical MRI of the 18-year-old patient in the neutral position. (A) Sagittal T2-weighted image showing a subtle medullary atrophy at C5-C6 levels with no signal abnormality (arrow) (B) Axial T2-weighted image at C6 level showing a flattening of the cord and detachment of the posterior dura (arrow).

  • Figure 6.
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    Figure 6.

    Cervical MRI of the 18-year-old patient in the flexion position. (A) Sagittal T2-weighted and (B) Axial T2-weighted images at C6 level showing the enlargement of the posterior epidural space due to the anterior displacement of the posterior dura causing the spinal stenosis.

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Vol. 34, Issue 4
July-August 2020
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Vietnamese Case Series of Hirayama Disease
NGUYEN DUY HUNG, NGUYEN MINH DUC, NGUYEN THANH VAN, LE THANH DUNG, HOANG DUC HA, NGUYEN DUY HUE
In Vivo Jul 2020, 34 (4) 2153-2157; DOI: 10.21873/invivo.12022

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Vietnamese Case Series of Hirayama Disease
NGUYEN DUY HUNG, NGUYEN MINH DUC, NGUYEN THANH VAN, LE THANH DUNG, HOANG DUC HA, NGUYEN DUY HUE
In Vivo Jul 2020, 34 (4) 2153-2157; DOI: 10.21873/invivo.12022
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Keywords

  • Hirayama disease
  • cervical MRI
  • neutral position
  • flexion position
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