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Published on: September 2, 2025
Cruciate paralysis secondary to traumatic atlantooccipital dislocation
Jennifer Sweet1, Joshua Ammerman, Vivek Deshmukh
1Department of Neurological Surgery, George Washington University School of Medicine, Washington, DC 20037, USA. sweetj@gwu.edu
Abstract:
Cruciate paralysis is a clinical phenomenon thought to result from injury to decussating pyramidal tract fibers at the cervicomedullary junction, producing clinical findings of upper-extremity weakness out of proportion to the lower extremities. The authors present, to their knowledge, the first reported case of cruciate paralysis resulting from atlantooccipital dislocation.
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