Finger trembling improvement after surgery in Hirayama disease: a case report.

ABSTRACT:

Introduction

Finger trembling is a characteristic physical finding in Hirayama disease. Although conservative treatment is recommended to stop disease progression, surgery is optional in some cases. However, the postoperative recovery of finger trembling is scarcely reported.

Case presentation

A 26-year-old Japanese female patient whose chief complaint was left finger trembling with active finger extension presented at our hospital. Hand weakness without muscle atrophy of the left arm was observed. MRI showed left-side oriented intramedullary signal change with concomitant cord atrophy at C4-5 and C5-6. The CT myelogram (CTM) on flexion showed anterior cord compression and anterior shift of posterior dura matter from C4 to C6. And CTM on extension showed the resolution of bo

SUBMITTER: Tadokoro N 

PROVIDER: S-EPMC9038729 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature