Hirayama Disease: Imaging Profile
of Three Cases Emphasizing the Role
of Flexion MRI
RD03-RD04
Correspondence
Dr. Radha Sarawagi,
Department of Radiodiagnosis, Mahatma Gandhi Medical College and Research Institute,
Pillaiyarkuppam, Pondicherry-607402, India.
Phone : +917639656801, E-mail: radhasanjeevgupta@gmail.com
We report three cases of Hirayama disease, cervical flexion myelopathy presenting as unilateral or bilateral asymmetric muscular atrophy of forearm and hand involving C7 - T1 myotomes in young males. MRI revealed asymmetric cord atrophy, altered signal intensity of cord, posterior dural detachment and enlarged posterior epidural space with multiple flow voids. This article emphasizes the role of Flexion MRI in diagnosing Hirayama disease.