Salman Mansoor, Kevin Murphy, Mohammad Hijaz Adenan, Eimear Joyce, Orla Hardiman, Michael Hennessey, Siobhan Kelly.
Hirayama disease- a case report.
South Asian J Emerg Med Jan ;2(2):37-9.

Hirayama disease is a rare neurological entity which can present in any setting emergency departments included. These cases are usually diagnosed after carefully excluding other conditions. We report the case of a 23-year old man who presented with an 18-month history of numbness, tingling and painless curling of the 4th and 5th digits. The symptoms did not progress beyond the 12-month period. The right side and bulbar function remained unaffected throughout. Based on the age of onset, arrest of progression after a period of deterioration, imaging features and neurophysiological #ndings a diagnosis of Hirayama Disease was made.

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