Head and Neck Imaging

MR Diagnostic of the Hirayama Disease

Author:NING Li, FAN Shi-fu

affiliation:Depatment of Radiology, the Six People’s Hospital of Deyang, Deyang 618000, Sichuan Province, China

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Abstract

Objective MR explore Hirayama disease manifestations and diagnostic value. Methods Retrospective analysis of five cases of clinically diagnosed patients Hirayama MR data. Five patients underwent cervical flexion natural position and unenhanced and enhanced scan. All patients underwent routine biochemical and cerebrospinal fluid examination, EMG and muscle biopsy. Results Five patients were seen in cervical lordosis straight, natural position five cases had low spinal atrophy flat, abnormal signal within the spinal cord atrophy. Bit 5 patients with cervical spinal cord flexor visible characteristic of spinal cord forward, flattened, forward displacement of the dura, epidural widened, 4 patients epidural space visible blood flow signals, five patients enhanced visibility in epidural venous plexus. Conclusion Natural position combined flexion MR scan + Enhanced detection, early, accurate diagnosis and differential diagnosis of Hirayama disease is of great value.

【Keyword】Hirayama Disease; Magnetic Resonance Imaging; Diagnosis

【Chart number】R826.62

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2018.05.009