青少年女性近端上肢受累的平山病：一例报告
Hirayama disease with proximal upper limb involvement in an adolescent female: A case report.
作者信息
Sikakulya Franck Katembo, Kiyaka Sonye Magugu, Olasinde Anthony Ayotunde, Kiswezi Ahmed
机构信息
Faculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka-Bushenyi, Uganda; Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.
Faculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka-Bushenyi, Uganda.
出版信息
Int J Surg Case Rep. 2022 Sep;98:107577. doi: 10.1016/j.ijscr.2022.107577. Epub 2022 Aug 31.
INTRODUCTION AND IMPORTANCE
Hirayama disease is a rare benign motor neuron disorder that involves a single upper limb. It affects the lower cervical myotomes and presents clinically by muscle wasting and weakness.
CASE PRESENTATION
We report the case of a 17-year-old female who presented with a four weeks history of progressive weakness of the left upper limb. The blood investigations and image reported unremarkable findings. Patient improved on physiotherapy.
CLINICAL DISCUSSION
Hirayama disease is rarely encountered in clinical settings and should be suspected in female patients presenting with unilateral or asymmetrical bilateral lower motor weakness of hands and forearms.
CONCLUSION
We present a rare condition in a 17-year-old female with a left upper extremity monomelic amyotrophy, a Hirayama disease.
引言与重要性
平山病是一种罕见的良性运动神经元疾病，累及单一上肢。它影响下颈段肌节，临床上表现为肌肉萎缩和无力。
病例报告
我们报告一例17岁女性病例，该患者有左上肢进行性无力四周的病史。血液检查和影像学检查结果均无异常。患者经物理治疗后病情改善。
临床讨论
平山病在临床环境中很少见，对于出现手部和前臂单侧或不对称双侧下运动神经元无力的女性患者应怀疑此病。
结论
我们报告了一名17岁女性患有罕见的左上肢单肢肌萎缩症，即平山病。
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