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Journal of Korean Neurosurgical Society 1991;20(7): 568-573. |
| Atlanto-Axial Dislocation with Odontoid Process Fracture Associated with "Cruciate Paralysis". |
| Mu Yeon Cho, Jong Ha Shin, Chun Sik Choi, Mun Bae Ju |
| Departments of Neurosurgery, Koryo General Hospital, Seoul, Korea. |
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| ABSTRACT |
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Cruciate paralysis, an unusual clinical entity, is "frequently undiagnosed or misunderstood", and can simulate the acute cervical central-cord injury syndrome. This rare injury pattern is characterized by weakness of upper extremities with little or no compromise of lower limb function following trauma to the superior cervical cord. The pattern of injury and clinical findings support selective damage to the corticospinal tract or upper motor neurons subserving upper limb function with the pyramidal decussation. Authors experience a case of curciate paralysis due to type 2 odontoid fracture and atlas dislocation. |
| Key Words:
Cruciate paralysis; Central cord syndrome; Superior cervical cord; Pyramidal decussation |
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