Korean J Clin Neurophysiol.  2014 Jun;16(1):39-41. 10.14253/kjcn.2014.16.1.39.

Anatomical Findings of Hemiplegia Cruciata in Multiple Sclerosis

• Jeong HY
• Chung EJ
• Kim EG
• Bae JS

• KMID: 1708891
• DOI: http://doi.org/10.14253/kjcn.2014.16.1.39

Abstract

Hemiplegia cruciata (HC) manifests as paralysis of the ipsilateral arm and contralateral leg. Herein, we report a 64-year-old man with weakness of the right leg and of the left arm after multiple sclerosis (MS). His brain and spine magnetic resonance imaging show a lower medulla lesion, which is extended to posterior part of C1 spine through cervicomedullary junction. HC usually results from stroke or trauma, but it is rare as presenting symptom of MS.

Keyword

Crossed hemiplegia; Multiple sclerosis; Pyramidal decussation

MeSH Terms

Arm
Brain
Hemiplegia*
Humans
Leg
Magnetic Resonance Imaging
Middle Aged
Multiple Sclerosis*
Paralysis
Pyramidal Tracts
Rubiaceae*
Spine
Stroke

Figure

• 

  Figure 1. Brain and cervical MRI. Axial T2-weighted image at the level of lower medullar reveals a hyperintense lesion (A). This lesion shows a gadolinum enhancement on T1 weighted image (B). Cervical MRI shows a hyper-intense lesion around the left posterior column at the level of first cervical vertebra in axial T1-weighted enhanced image (C). Prominent signal changes in T2-weighted (D) and T1-weighted enhanced images (E) are shown between the lower medulla and the upper cervical spinal cord, extending to the first cervical vertebra level.

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