Abstract
Hirayama disease (HD) is a rare, monomelic amyotrophy described by Hirayama in 1959. The condition is caused by chronic ischemic changes to the anterior horn cells of the cervical spine, caused by posterior dural sac laxity. It is a nonprogressive and self-limiting disease and has been noted to be a source of significant disability for affected young individuals. Early surgical intervention in HD limits the progression and thus decreases the degree of disability.
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