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Hirayama disease causing hand tremor on neck flexion
Practical Neurology Pub Date : 2019-11-26 , DOI: 10.1136/practneurol-2019-002434
Tun Hing Lui 1
Affiliation  

A 21-year-old man presented with right-hand intrinsic muscle wasting and right-hand tremor on neck flexion. MR scan of cervical spine was normal in the neutral position, but on neck flexion showed anterior shift and flattening of the cervical cord, with prominent posterior epidural space and engorged epidural venous plexus. We diagnosed Hirayama disease and his condition stabilised with a neck collar and physiotherapy.

中文翻译:

平山病导致颈部屈曲时手震颤

一名 21 岁男性因右侧内在肌肉萎缩和颈部屈曲时右侧震颤就诊。中立位颈椎MR扫描正常,但颈屈曲时颈髓前移变平,硬膜外间隙明显,硬膜外静脉丛充血。我们诊断出平山病,通过颈托和理疗使他的病情稳定下来。
更新日期:2019-11-26
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