Cruciate paralysis secondary to traumatic atlantooccipital dislocation.
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.
Sweet
Jennifer
J
Department of Neurological Surgery, George Washington University School of Medicine, Washington, DC 20037, USA. sweetj@gwu.edu
Ammerman
Joshua
J
Deshmukh
Vivek
V
White
Joseph
J
D000328:Adult; D001132:Arm / Q000294:innervation; D001269:Atlanto-Occipital Joint / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D002533:Cerebral Angiography; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000601:surgery*; D017846:Longitudinal Ligaments / Q000293:injuries; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D010243:Paralysis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis; D011712:Pyramidal Tracts / Q000293:injuries*; D013123:Spinal Fusion / Q000379:methods*; D014057:Tomography, X-Ray Computed