Post-traumatic Hirayama Disease: Case Report

The characteristic clinical features of Hirayama disease are young age at onset, sporadic occurrence, male preponderance, wasting and weakness confined to a single or bilaterally upper limb without involvement of cranial nerves, pyramidal tracts, sensory, cerebellar or extrapyramidal systems. A 22-year-old girl was presented with slowly progressive weakness of her upper limbs especially on her right side like a lower motor neuron syndrome. She had a car accident one year ago. She had a complaint of weakness on her left side for last six months. No intervertebral disc herniation was present, but there was an evidence of old traumatic injury. Here, we presented a rare case of Hirayama disease after a trauma.

Travma Sonrasý Hirayama Hastalýðý: Olgu Sunumu

Hirayama hastalýðý karakteristik klinik özellikleri arasýnda; genç baþlangýç, sporadik
oluþum, erkeklerde sýk görülmesi, kraniyal sinirleri, piramidal yollarý, duyusal, serebellar veya ekstra piramidal sistem tutulumu olmadan tek veya iki taraflý üst ekstremite sýnýrlý kaslarda erime ve güçsüzlük vardýr. 22 yaþýndaki bayan, alt motor nöron sendromu benzeri sað tarafta belirgin üst ekstremitelerde yavaþ ilerleyen güçsüzlük ile baþvurdu. Bir yýl once trafik kazasý geçirmiþti. Son altý aydýr güçsüzlük þikayeti artmýþtý. Ýntervertebral disk hernisi yoktu, ancak; eski travmaya ait bulgular vardý. Burada, biz bir travma sonrasý geliþtiðini düþündüðümüz nadir bir Hirayama hastalýðý olgusu sunduk.