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Acta Neurol Belg (2018) 118:517–518 https://doi.org/10.1007/s13760-017-0826-3 LETTER TO THE EDITOR Progressive myoclonic tremor mimicking functional tremor in Hirayama disease 1 1 2 1 • • • Do-Young Kwon Jinhee Kim HoKyong Yoon Moon Ho Park Received: 12 May 2017 / Accepted: 25 July 2017 / Published online: 10 August 2017 Belgian Neurological Society 2017 Dear Editor, examination revealed bilateral asymmetric (left side dom- inant) weakness and subtle atrophy in the distal forearm Hirayama disease, also known as monomelic amyotrophy and intrinsic hand muscles. In addition, he had asymmetric, and non-progressive juvenile muscular atrophy of distal jerky, irregular myoclonic tremors in the resting as well as upper limbs, is a rare neurological disorder inflicting arm-outstretched posture. A presumptive diagnosis of slowly progressive muscular atrophy and weakness of the functional movement disorder was made, considering the upper extremity associated with spinal cord atrophy [1]. temporal relationship of his mandatory enlistment and Abnormal imaging findings of cord compression prominent neurological examination findings of variability of fre- on neck flexed postures are important for the diagnosis of quency and distractibility with motor tasks; however, this disease [2, 3]. Besides focal amyotrophy and weakness suggestibility and coherence was not evident (video seg- of the
Acta Neurologica Belgica – Springer Journals
Published: Aug 10, 2017
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