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Cruciate paralysis and hemiplegia cruciata: report of three cases
T Yayama1, K Uchida, S Kobayashi
1Division of Orthopaedics and Rehabilitation Medicine, Department of Surgery, University of Fukui Faculty of Medical Sciences, Japan.
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.