Clinical Improvement of Monomelic Amyotrophy After Avoidance of Sustained Neck Flexion

This paper discusses a case of monomelic amyotrophy (Hirayama disease) and its management. Usually, the disease's progression stops, leaving persistent arm weakness. Sometimes, symptoms improve with a cervical collar or surgery. The study focuses on a young man with monomelic amyotrophy. He was advised to avoid prolonged neck flexion without using a cervical collar. After a year of avoiding neck flexion, the patient's strength in his right finger extensors, finger flexors, and wrist extensors improved. This improvement helped him type and perform manual tasks more easily.

• 1
  The patient experienced improved strength in the right finger extensors, finger flexors, and wrist extensors after avoiding neck flexion for a year.
• 2
  The improvement in strength led to a significant enhancement in the patient's ability to type and perform manual tasks.
• 3
  Radiographic findings suggested cervical cord compression, but conservative management (avoiding neck flexion) proved moderately successful.