Re-evaluation of the symptoms of Hirayama disease through anatomical perspective

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dc.authorid0000-0002-2522-8090
dc.authorid0000-0001-8488-2394
dc.authorid0000-0001-8532-4917
dc.authorid0000-0001-7566-1063
dc.authorid0000-0002-5539-2342
dc.contributor.authorTekin, Bahar
dc.contributor.authorAnsen, Gamze
dc.contributor.authorÖrmeci, Tuğrul
dc.contributor.authorHelvacı Yılmaz, Nesrin
dc.contributor.authorŞakul, Bayram Ufuk
dc.date.accessioned2023-05-24T07:50:49Z
dc.date.available2023-05-24T07:50:49Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Anatomi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractHirayama disease is a rare disease of the anterior horn motor neuron caused by compression of the cervical spinal cord when the neck is flexed. Cervical myelopathy may accompany the disease. It is characterized by symmetrical or asymmetrical muscle weakness and atrophy of muscles innervated by lower cervical and upper thoracic motor neurons. We recorded two male cases of Hirayama disease between the ages of 15 and 21 based on magnetic resonance imaging (MRI) features obtained from the cervical neutral state and from the flexion position which appeared in the right upper extremity. Loss of strength and atrophy in the right upper extremities was existent in clinical findings of these patients. When MRI was taken in the flexion position, there were dilated veins as hypointense signal void on T2 weighted series in posterior epidural area. The contrast enhancement was seen on these veins. It was observed that the posterior dura was displaced anteriorly and the anterior subarachnoid space was narrow. In cases which show clinical findings such as atrophy and loss of strength, having normal MRI results obtained in the neutral position makes it difficult to diagnose Hirayama Disease. In case of a suspicion of Hirayama disease the diagnosis can be made more easily by MRI taken in the flexion position. These case reports aim to bring Hirayama disease to mind and optimize the management of affected individuals.
dc.identifier.citationTekin, B., Ansen, G., Örmeci, T., Helvacı Yılmaz, N. ve Şakul, B. U. (2023). Re-evaluation of the symptoms of Hirayama disease through anatomical perspective. Intractable and Rare Diseases Research, 12(1), 62-66. https://doi.org/10.5582/irdr.2022.01117
dc.identifier.doi10.5582/irdr.2022.01117
dc.identifier.endpage66
dc.identifier.issn2186-3644
dc.identifier.issn2186-361X
dc.identifier.issue1
dc.identifier.pmid36873670
dc.identifier.scopus2-s2.0-85156205266
dc.identifier.scopusqualityQ3
dc.identifier.startpage62
dc.identifier.urihttps://doi.org/10.5582/irdr.2022.01117
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10966
dc.identifier.volume12
dc.identifier.wos000941533300009en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTekin, Bahar
dc.institutionauthorAnsen, Gamze
dc.institutionauthorÖrmeci, Tuğrul
dc.institutionauthorHelvacı Yılmaz, Nesrin
dc.institutionauthorŞakul, Bayram Ufuk
dc.language.isoen
dc.publisherInternational Advancement Center for Medicine and Health Research Co., Ltd.
dc.relation.ispartofIntractable and Rare Diseases Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCervical Myelopathy
dc.subjectHirayama
dc.subjectJuvenile Spinal Muscular Atrophy
dc.subjectMonomelic Amyotrophy
dc.subjectCervical MRI
dc.titleRe-evaluation of the symptoms of Hirayama disease through anatomical perspective
dc.typeArticle

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