Abstract
Introduction and importanceHirayama 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 presentationWe 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 discussionHirayama 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.ConclusionWe present a rare condition in a 17-year-old female with a left upper extremity monomelic amyotrophy, a Hirayama disease.
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