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Surgical treatment of spinal cord compression due to Hirayama disease: illustrative case
BACKGROUND: Hirayama disease (HD), also known as juvenile spinal muscular atrophy, is a rare condition in which flexion of the cervical neck causes compression and ischemic changes to the anterior horns of the spinal cord. Here the authors presented the first reported case of HD in North America tha...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Association of Neurological Surgeons
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9379630/ https://www.ncbi.nlm.nih.gov/pubmed/36130535 http://dx.doi.org/10.3171/CASE21697 |
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author | Singh, Rohin Hudson, Miles Meyer, Jenna H. Neal, Matthew T. Patel, Naresh P. |
author_facet | Singh, Rohin Hudson, Miles Meyer, Jenna H. Neal, Matthew T. Patel, Naresh P. |
author_sort | Singh, Rohin |
collection | PubMed |
description | BACKGROUND: Hirayama disease (HD), also known as juvenile spinal muscular atrophy, is a rare condition in which flexion of the cervical neck causes compression and ischemic changes to the anterior horns of the spinal cord. Here the authors presented the first reported case of HD in North America that was successfully treated via surgical intervention. OBSERVATIONS: The patient was a 15-year boy with insidious onset upper limb weakness and atrophy. His findings were a classic presentation of HD although his complex history and relative rarity of the disease caused him to remain undiagnosed for months. After conservative management via cervical collar failed, the patient was successfully treated via C5-C7 anterior cervical discectomy and fusion. The patient’s symptoms stabilized by the 3-month follow-up. LESSONS: The diagnosis of HD is easy to miss because of the lack of reporting and widespread knowledge of this condition in North America. Thus, when presented with a case of insidious onset limb weakness in a juvenile patient, HD should be placed on the differential list and verified with cervical flexion magnetic resonance imaging. Additionally, surgical intervention should be considered a safe and effective option for HD when conservative methods have failed. |
format | Online Article Text |
id | pubmed-9379630 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | American Association of Neurological Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-93796302022-10-04 Surgical treatment of spinal cord compression due to Hirayama disease: illustrative case Singh, Rohin Hudson, Miles Meyer, Jenna H. Neal, Matthew T. Patel, Naresh P. J Neurosurg Case Lessons Case Lesson BACKGROUND: Hirayama disease (HD), also known as juvenile spinal muscular atrophy, is a rare condition in which flexion of the cervical neck causes compression and ischemic changes to the anterior horns of the spinal cord. Here the authors presented the first reported case of HD in North America that was successfully treated via surgical intervention. OBSERVATIONS: The patient was a 15-year boy with insidious onset upper limb weakness and atrophy. His findings were a classic presentation of HD although his complex history and relative rarity of the disease caused him to remain undiagnosed for months. After conservative management via cervical collar failed, the patient was successfully treated via C5-C7 anterior cervical discectomy and fusion. The patient’s symptoms stabilized by the 3-month follow-up. LESSONS: The diagnosis of HD is easy to miss because of the lack of reporting and widespread knowledge of this condition in North America. Thus, when presented with a case of insidious onset limb weakness in a juvenile patient, HD should be placed on the differential list and verified with cervical flexion magnetic resonance imaging. Additionally, surgical intervention should be considered a safe and effective option for HD when conservative methods have failed. American Association of Neurological Surgeons 2022-03-07 /pmc/articles/PMC9379630/ /pubmed/36130535 http://dx.doi.org/10.3171/CASE21697 Text en © 2022 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ). |
spellingShingle | Case Lesson Singh, Rohin Hudson, Miles Meyer, Jenna H. Neal, Matthew T. Patel, Naresh P. Surgical treatment of spinal cord compression due to Hirayama disease: illustrative case |
title | Surgical treatment of spinal cord compression due to Hirayama disease: illustrative case |
title_full | Surgical treatment of spinal cord compression due to Hirayama disease: illustrative case |
title_fullStr | Surgical treatment of spinal cord compression due to Hirayama disease: illustrative case |
title_full_unstemmed | Surgical treatment of spinal cord compression due to Hirayama disease: illustrative case |
title_short | Surgical treatment of spinal cord compression due to Hirayama disease: illustrative case |
title_sort | surgical treatment of spinal cord compression due to hirayama disease: illustrative case |
topic | Case Lesson |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9379630/ https://www.ncbi.nlm.nih.gov/pubmed/36130535 http://dx.doi.org/10.3171/CASE21697 |
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