{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:26Z","timestamp":1756425806697,"version":"3.44.0"},"reference-count":2,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,25]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>Slowly progressing unilateral upper limb weakness in a previously healthy child can occur due to number of causes which requires a thorough history, physical examination followed by radiological examination, electromyography and so on. Among the various aetiologies, a rare condition such as Hirayama disease is one of the differentials to be considered. There has been a wealth of literature reported on this disease and our case is a learning lesson for all paediatricians to be aware of Hirayama disease and its current concepts.<\/jats:p>","DOI":"10.1136\/bcr-2020-236234","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T18:18:21Z","timestamp":1608661101000},"page":"e236234","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Rare cause of unilateral upper limb weakness in a young adolescent"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5457-1827","authenticated-orcid":false,"given":"Gurinder","family":"Kumar","sequence":"first","affiliation":[{"name":"Paediatric Neurology, Case Western Reserve University Hospital, Cleveland, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Prochoroff","sequence":"additional","affiliation":[{"name":"Paediatric Neurology, Case Western Reserve University Hospital, Cleveland, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,12,21]]},"reference":[{"key":"2025082801463192000_13.12.e236234.1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/CND.0000000000000243","article-title":"Spinal epidural venous plexus pathology in Hirayama disease","volume":"21","author":"Macey","year":"2019","journal-title":"J Clin Neuromuscul Dis"},{"key":"2025082801463192000_13.12.e236234.2","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1016\/j.clinph.2020.02.022","article-title":"Establishment of a clinician-led guideline on the diagnosis and treatment of Hirayama disease using a modified Delphi technique","volume":"131","author":"Lyu","year":"2020","journal-title":"Clinical Neurophysiology"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-236234","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:46:39Z","timestamp":1756370799000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-236234"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":2,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12,21]]},"published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1136\/bcr-2020-236234"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-236234","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,12]]}}}