Abstract
Hirayama diseaseis a relatively rare myelopathy, a self limiting juvenile spinal muscular atrophy of the distal upper limbs. The exact etiology is unknown however a limited form of ischemic cervical myelopathy has been proposed as the cause. It affects mostly males in second to third decade. Cervical MRI is the preferred investigation. We report a case of Hirayama disease in a 24 year Indian male presenting with gradually progressive weakness and wasting of both the hands.
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Corresponding Author
Dr Meghana Murthy
Junior Resident, Department of Medicine
Adichunchanagiri Institute of Medical Sciences