Cruciate paralysis and hemiplegia cruciata: report of three cases.

Abstract

Report of three cases of cruciate paralysis and hemiplegia cruciata. To stress the importance of upper cervical spine lesions causing neurological symptoms and signs. Neuro-orthopedic service, Fukui University Hospital, Japan. 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. Neurological symptoms and signs of cruciate paralysis and hemiplegia cruciata should be carefully assessed, and surgical therapy should be based on the pathological condition.