Juvenile muscular atrophy of the distal upper extremity (Hirayama syndrome): a systematic review.
Henrik Constantin BäckerJacob BockPeter TurnerMichael A JohnsonJohn CunninghamPatrick ChanRichard GerratyPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2022)
The delay in diagnosis from initial presentation of symptoms shows that this condition may be underdiagnosed in a variety of cases. Further, this study shows the necessity of either a dynamic MRI in flexion or a static MRI scan in neutral position and in flexion, to identify functional spinal and/or foraminal stenosis for a prompt diagnosis and subsequent treatment.