For some reason, lately we have gotten several requests to perform flexion MRI studies of the cervical spine to rule out Hirayama disease. Here is a short presentation that one of our fellows, Dr. Janica Walden, prepared on this topic.
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Here is another case, this time a very good example, of Hirayama disease that we had last week. It shows the prominent, enhancing, and vessel containing posterior subarachnoid space compressing the spinal cord. On the axial T2 image the cord is compressed (atrophied?).