Management of Hirayama Disease through Panchakarma- A Case Report

Authors

  • K Amrithalatha Final PG Scholar, Department of Panchakarma, VPSV Ayurveda college, Kottakkal Author
  • P P Jigeesh Professor and HOD, Department of Panchakarma, VPSV Ayurveda college, Kottakkal Author

DOI:

https://doi.org/10.48165/IRJAY.2023.6306

Keywords:

Hirayama disease, Monomelic atrophy, Vatavyadhi, Apabahuka, Panchakarma

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. 

Downloads

Download data is not yet available.

References

Anuradha S, Fanai V. Hirayama Disease: A Rare Disease with Unusual Features. Case Rep Neurol Med. 2016 Dec 21;2016:e5839761.

Lay SE, Gudlavalleti A, Sharma S. Hirayama Disease. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 [cited 2022 Oct 31]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK499913/

Upper Extremity Functional Index [Internet]. Physiopedia. [cited 2022 Nov 5]. Available from: https://www.physio pedia.com/Upper_Extremity_Functional_Index

Al-Hashel JY, Abdelnabi EA, Ibrahim Ismail I. Monomelic Amyotrophy (Hirayama Disease): A Rare Case Report and Literature Review. Case Rep Neurol. 2020;12(3):291–8.

Antonioni A, Fonderico M, Granieri E. Hirayama Disease: A Case of an Albanian Woman Clinically Stabilized Without Surgery. Front Neurol [Internet]. 2020 [cited 2022 Nov 16];11. Available from: https://www.frontiersin.org/articles/10.3389/fneur.2020.0

Nandigoudar. Hirayama disease: An ayurvedic approach [Internet]. [cited 2022 Nov 16]. Available from: https://www.journayu.in/article.asp?issn=2321- 0435;year=2021;volume=15;issue=3;spage=228;epage=2 31;aulast=Nandigoudar

Sharma. Ayurvedic management of Hirayama disease: A case report [Internet]. [cited 2022 Nov 16]. Available from: https://www.ayucare.org/article.asp?issn=2667- 0593;year=2022;volume=5;issue=3;spage=130;epage=13 4;aulast=Sharma

Jadavji trikamji. Charakasamhita. Vol. 29/61. Varanasi: Chaukhamba Surabharati Prakashan; 1992. 736 p. 9. Sastri H, paraadakara vaidya, ed. Ashtanga Hridaya of Vagbhata Sutrasthana (Sarvangasundara, Aurvedarasayana , comme, Sanskrit) Varanasi: Chaukhambha Orientalia, 2014 ; p.289.20/11-12. 10. Krishnan K V, S.Gopala Pillai, editors. Sahasrayogam sujanapriya commentary. Mullakkal: Vidyarambham publishers, Oct 2013. Churnayogangal, p.179

Krishnan K V, S.Gopala Pillai, editors. Sahasrayogam sujanapriya commentary. Mullakkal: Vidyarambham publishers, Oct 2013. Churnayogangal, p.179

Sastri H.S paraadakara vaidya, ed. Ashtanga Hridaya of Vagbhata chikitsasthana (Sarvangasundara, Aurvedarasayana , comme, Sanskrit) Varanasi: Chaukhambha Orientalia, 2014 ; p.289.20/11-12.

Sastri S paraadakara vaidya, ed. Ashtanga Hridaya of Vagbhata utharasthana (Sarvangasundara,

Aurvedarasayana , comme, Sanskrit) Varanasi: Chaukhambha Orientalia, 2014 ; 2/54.

Sastri S, paraadakara vaidya, ed. Ashtanga Hridaya of Vagbhata kalpasthana (Sarvangasundara, Aurvedarasayana , comme, Sanskrit) Varanasi: Chaukhambha Orientalia, 2014 ; p.289.3/11-12.

Krishnan K V, S.Gopala Pillai, editors. Sahasrayogam sujanapriya commentary. Mullakkal: Vidyarambham publishers, Oct 2013. Tailayogangal, p.307

Acharya YT, ed. Caraka samhita of Agnivesa Sidhisthana ( Ayurveda Deepika, comme, Sanskrit) Varanasi: Chaukhamba Orientalia, 2014; p.690.12/22 17. Krishnan K V, S.Gopala Pillai, editors. Sahasrayogam sujanapriya commentary. Mullakkal: Vidyarambham publishers, Oct 2013. Tailayogangal, p.298

Krishnan K V, S.Gopala Pillai, editors. Sahasrayogam sujanapriya commentary. Mullakkal: Vidyarambham publishers, Oct 2013., p.108

Krishnan K V, S.Gopala Pillai, editors. Sahasrayogam sujanapriya commentary. Mullakkal: Vidyarambham publishers, Oct 2013. Ghritayogangal, p.363

Downloads

Published

2023-03-31

How to Cite

Amrithalatha , K., & Jigeesh , P.P. (2023). Management of Hirayama Disease through Panchakarma- A Case Report . International Research Journal of Ayurveda and Yoga, 6(3), 51–59. https://doi.org/10.48165/IRJAY.2023.6306