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. 2013 Aug 26;2013:478516. doi: 10.1155/2013/478516

Table 2.

MRI findings in Hirayama disease [5, 18, 24].

MRI feature Hassan et al. [5] (2012): no. (%) Sonwalkar et al. [18] (2008): no. (%) Raval et al. [24] (2010): no. (%)
Total number of patients 11* 8 9
Neutral position
 Abnormal cervical curvature (loss of cervical lordosis) 10/11 (91) 6 (75) 9 (100)
 Localised lower cervical cord atrophy 9/11 (82) 8 (100) 9 (100)
 Asymmetric cord flattening 11/11 (100) 6 (75) 9 (100)
 Intramedullary hyperintensity in lower cervical cord 2 (18) 3 (37) 4 (44)
Flexion position
 Loss of attachment between posterior dural sac and subjacent lamina 9/10 (90) 4 (50) 9 (100)
 Anterior shifting of posterior cervical dural wall on flexion 9/10 (90) 6 (75) 9 (100)
 Prominent epidural flow voids 9/10 (90) 4 (50) 4 (44)
 Enhancing epidural mass in lower cervical region 10/10 (100) 6 (75) 9 (100)

*11 patients underwent routine neutral position MRI, and 10 underwent flexion contrast MRI.