Case Report
Spinal Cord (2006) 44, 393–398. doi:10.1038/sj.sc.3101861; published online 25 October 2005
Cruciate paralysis and hemiplegia cruciata: report of three cases
T Yayama1, K Uchida1, S Kobayashi1, H Nakajima1, C Kubota1, R Sato1 and H Baba1
1Division of Orthopaedics and Rehabilitation Medicine, Department of Surgery, University of Fukui Faculty of Medical Sciences, Fukui, Japan
Correspondence: T Yayama, Division of Orthopaedics and Rehabilitation Medicine, Department of Surgery, University of Fukui Faculty of Medical Sciences, Shimoaizuki 23, Matsuoka, Fukui 910–11, Japan
Abstract
Study design:
Report of three cases of cruciate paralysis and hemiplegia cruciata.
Objective:
To stress the importance of upper cervical spine lesions causing neurological symptoms and signs.
Setting:
Neuro-orthopedic service, Fukui University Hospital, Japan.
Results:
Three patients (all females; one with congenital anomaly at the occiput-atlas level, one with assimilation of the atlas, and one with rheumatoid arthritis-related proliferative synovium) had clinical features of cruciate paralysis and hemiplegia cruciata. All three cases underwent decompressive surgeries.
Conclusion:
Neurological symptoms and signs of cruciate paralysis and hemiplegia cruciata should be carefully assessed, and surgical therapy should be based on the pathological condition.
Keywords:
cruciate paralysis, hemiplegia cruciata, Wallenberg syndrome, cervicomedullary junction, pyramidal decussation
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