Hirayama disease: An unusual case report (Published Online: 2018 August 07)
Elisa Calisgan1, Ali Canbay2, Burcu Talu3, Mehmet Tecellioglu4, Resit Sevimli2
1Kahramanmaras Sutcu Imam University, Health School, Department of Physical Therapy and Rehabilitation, Kahramanmaras, Turkey
2Inonu University, Faculty of Medicine, Department of Orthopedics and Traumatology, Malatya, Turkey
3Inonu University, Faculty of Health Science, Department of Physical Therapy and Rehabilitation, Malatya, Turkey
4Inonu University, Faculty of Medicine, Department of Neurology, Malatya, Turkey
Hirayama disease is an uncommon and rarely seen lower motor neuron disease. It is usually seen during periods of rapid growth (15-25 years). Distal upper extremities characteristically show weakness and atrophy. In this paper a case is presented of this rare, and difficult to diagnose disease, not previously reported in this age group, and the findings are discussed in the light of information of earlier cases in Turkey.
A 53-year old male patient presented at Inonu University Neurology Polyclinic with complaints of motion tremor and atrophy in the left arm, which had been ongoing for 4 years. After electromyography, the deltoid, biceps, triceps, extensor digitorum communis, abductor pollicis brevis and abduction digiti minimi muscles were identified in the upper left limb. This case report presents information about the differential diagnosis, detailed symptoms and treatment methods of a Hirayama patient applying for physical therapy.
Keywords: Hirayama Disease; Lower Motor Neuron; Atrophy; Physiotherapy; Function.