Management of Hirayama Disease through Panchakarma- A Case Report

Abstract

Hirayama disease (HD) also called as Monomelic amyotrophy (MMA)  is characterized by juvenile onset of unilateral muscular atrophy of a  distal upper extremity. The pathogenic mechanism of Hirayama disease  is cervical cord compression by the posterior dura with forward  displacement in the neck flexed position. Here is a case report of a 26  year old male with HD who had been treated at outpatient and inpatient  level of VPSV Ayurveda hospital. The case was considered as a  Vatavyadhi and the treatment protocol applied accordingly with  incorporation of treatment of Apabahuka particularly. The treatment  consisted of a variety of treatments including Udvartana, Snehapana,  Swedana, Virechana, Vasthi, Nasya and Rasayana. Even though the  condition of the patient was irreversible, the patient could hinder the  course of disease during follow up and was able to regain the functional  status after restarting the treatment later. The case highlights the  improvement in quality of life of Hirayama patient along with  improvement in UEFI score after Ayurvedic management.