一名女性的早发性平山病。
Early-onset Hirayama disease in a female.
作者信息
Baumann Matthias, Finsterer Josef, Gizewski Elke R, Löscher Wolfgang N
机构信息
Clinical Department of Pediatrics I, Division of Pediatric Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Krankenanstalt Rudolfstiftung, Vienna, Austria.
出版信息
SAGE Open Med Case Rep. 2017 Jan 1;5:2050313X16686710. doi: 10.1177/2050313X16686710. eCollection 2017.
OBJECTIVES
Hirayama disease is a rare myelopathy, occurring predominantly in males with onset in the teens.
METHODS AND RESULTS
Here, we report a young female patient who developed the first signs of Hirayama disease at 10.5 years of age. Prior to onset, she had experienced a growth spurt and grew about 8 cm. The disease progressed over 3 years and the typical clinical, electrophysiological, and neuroimaging signs of Hirayama disease were found. After this period and achievement of her final height, no further progression was noticed.
CONCLUSIONS
This case highlights that pediatric neurologists should be aware of Hirayama disease, which can also occur in girls in early adolescence.
目的
平山病是一种罕见的脊髓病，主要发生于青少年男性。
方法与结果
在此，我们报告一名10.5岁出现平山病首发症状的年轻女性患者。发病前，她经历了一次生长突增，长高了约8厘米。疾病在3年内进展，出现了平山病典型的临床、电生理和神经影像学表现。在此之后且达到最终身高后，未观察到进一步进展。
结论
该病例强调儿科神经科医生应了解平山病，该病也可发生于青春期早期的女孩。
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