Hirayama Disease: An Important Cause of Focal Hand Weakness in Young Adults
Patients with progressive hand weakness may be seen in ambulatory medical clinics or in emergency rooms due to direct effects on activities of daily living or inadvertent injury associated with overuse or attempts to maintain normal function. It is important to recognize potential cause(s) and perfo...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-03-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/23247096211001646 |
| _version_ | 1818914918087262208 |
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| author | Nan Jiang MD, PhD Eroboghene E. Ubogu MD |
| author_facet | Nan Jiang MD, PhD Eroboghene E. Ubogu MD |
| author_sort | Nan Jiang MD, PhD |
| collection | DOAJ |
| description | Patients with progressive hand weakness may be seen in ambulatory medical clinics or in emergency rooms due to direct effects on activities of daily living or inadvertent injury associated with overuse or attempts to maintain normal function. It is important to recognize potential cause(s) and perform appropriate diagnostic tests and referrals that aid guide appropriate treatment that may lead to good outcomes. Hirayama disease is an underrecognized disorder in young adults due to an asymmetric growth-associated cervical spinal cord compression injury. Awareness of this disorder by internists, emergency room physicians, and radiologists would prevent unnecessary tests and interventions that may contribute to disease progression by delaying appropriate treatments or treating inappropriately, with consequential effects on outcomes. In this article, we describe 3 Hirayama disease cases from a single tertiary care institution and demonstrate how delayed diagnosis affected outcomes in 2 patients and early recognition facilitated improved outcomes in a patient. |
| first_indexed | 2024-12-19T23:54:01Z |
| format | Article |
| id | doaj.art-1cee11a757d04f369211e59c1694046d |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-12-19T23:54:01Z |
| publishDate | 2021-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-1cee11a757d04f369211e59c1694046d2022-12-21T20:01:03ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962021-03-01910.1177/23247096211001646Hirayama Disease: An Important Cause of Focal Hand Weakness in Young AdultsNan Jiang MD, PhD0Eroboghene E. Ubogu MD1University of Alabama at Birmingham, AL, USAUniversity of Alabama at Birmingham, AL, USAPatients with progressive hand weakness may be seen in ambulatory medical clinics or in emergency rooms due to direct effects on activities of daily living or inadvertent injury associated with overuse or attempts to maintain normal function. It is important to recognize potential cause(s) and perform appropriate diagnostic tests and referrals that aid guide appropriate treatment that may lead to good outcomes. Hirayama disease is an underrecognized disorder in young adults due to an asymmetric growth-associated cervical spinal cord compression injury. Awareness of this disorder by internists, emergency room physicians, and radiologists would prevent unnecessary tests and interventions that may contribute to disease progression by delaying appropriate treatments or treating inappropriately, with consequential effects on outcomes. In this article, we describe 3 Hirayama disease cases from a single tertiary care institution and demonstrate how delayed diagnosis affected outcomes in 2 patients and early recognition facilitated improved outcomes in a patient.https://doi.org/10.1177/23247096211001646 |
| spellingShingle | Nan Jiang MD, PhD Eroboghene E. Ubogu MD Hirayama Disease: An Important Cause of Focal Hand Weakness in Young Adults Journal of Investigative Medicine High Impact Case Reports |
| title | Hirayama Disease: An Important Cause of Focal Hand Weakness in Young Adults |
| title_full | Hirayama Disease: An Important Cause of Focal Hand Weakness in Young Adults |
| title_fullStr | Hirayama Disease: An Important Cause of Focal Hand Weakness in Young Adults |
| title_full_unstemmed | Hirayama Disease: An Important Cause of Focal Hand Weakness in Young Adults |
| title_short | Hirayama Disease: An Important Cause of Focal Hand Weakness in Young Adults |
| title_sort | hirayama disease an important cause of focal hand weakness in young adults |
| url | https://doi.org/10.1177/23247096211001646 |
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