Заключение

У пациентов соответствующей возрастной группы с локальными неврологическими нарушениями в верхних конечностях рекомендуется проведение МРТ шейного отдела позвоночника с функциональными пробами для исключения болезни Хираяма. Протокол, дополненный исследованием в положении гиперфлексии позволяет выявить типичный для болезни Хираяма морфологический паттерн при сомнительных результатах рутинного МР-исследования. МР-трактография в отдельных случаях может определить начальные структурные изменения в спинном мозге, не визуализируемые на стандартных импульсных последовательностях.

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