Evidence map›Paper›PMID 41142870›Full record

ArticleRadiology case reports2026

Hirayama disease: A case report.

Reeha Dhungel, Ritesh Pokharel, Ashok Raj Pant, Bikash Pandey

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Reeha DhungelDepartment of Radiology, Swostik Cardio and Multispecialty Hospital, Dhangadhi, Nepal.
Ritesh PokharelDepartment of Orthopedic Surgery, Maya Metro Hospital, Dhangadhi, Nepal.
Ashok Raj PantDepartment of Radiology, Maya Metro Hospital, Dhangadhi, Nepal.
Bikash PandeyDepartment of Orthopedic Surgery, Maya Metro Hospital, Dhangadhi, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hirayama Disease is a spinal muscular atrophy which presents with varying degrees of unilateral or asymmetric bilateral distal muscle weakness of the upper extremity. It is a rare, non-progressive motor neuron disease, mostly affecting young males. Although considered to have a relatively stationary clinical course after a period of initial progression, it can be functionally impairing in some patients. Here, we present a case of a 20-year-old male who complained of weakness of his right upper extremity for 1 year with difficulty performing activities of daily life. This case highlights the role of radiologist in identifying the subtle findings in cervical spine MRI of patients with such presentation. Moreover, it emphasizes the importance of including flexion imaging MRI sequences in a patient with suspicion of Hirayama disease.

Indexed as

Flexion MRI of cervical spineHirayama diseaseJuvenile muscular atrophy of unilateral upper extremityMonomelic amyotrophy

Identifiers

PMID41142870
PMCPMC12549549

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.