Cruciate paralysis and hemiplegia cruciata: report of three cases.
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.
Yayama
T
T
Division of Orthopaedics and Rehabilitation Medicine, Department of Surgery, University of Fukui Faculty of Medical Sciences, Japan.
Uchida
K
K
Kobayashi
S
S
Nakajima
H
H
Kubota
C
C
Sato
R
R
Baba
H
H
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