title: Cruciate paralysis and hemiplegia cruciata: report of three cases.
abstract: METHODS
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Neurological symptoms and signs of cruciate paralysis and hemiplegia cruciata should be carefully assessed, and surgical therapy should be based on the pathological condition.
authors.affiliation: Division of Orthopaedics and Rehabilitation Medicine, Department of Surgery, University of Fukui Faculty of Medical Sciences, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Yayama
authors.forename: K
authors.initials: K
authors.lastname: Uchida
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
authors.forename: H
authors.initials: H
authors.lastname: Nakajima
authors.forename: C
authors.initials: C
authors.lastname: Kubota
authors.forename: R
authors.initials: R
authors.lastname: Sato
authors.forename: H
authors.initials: H
authors.lastname: Baba
mesh_terms: D000368:Aged; D001270:Cervical Atlas / Q000293:injuries* / Q000601:surgery*; D019299:Decompression, Surgical; D005260:Female; D006429:Hemiplegia / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome