"Paralysis cruciata"--a rare brain stem lesion syndrome after cervical vertebrae trauma
Prestar, F.J.; Keidel, M.
Der Nervenarzt 64(6): 396-400
1993
ISSN/ISBN: 0028-2804 PMID: 8332232 Document Number: 409937
Bell's cruciate paralysis with severe paresis or paralysis of the upper extremities and no or minimal paresis of the lower extremities represents a rare lesion of the pyramidal decussation of the lower brain-stem. MRI may show a hypointense lesion on T1-weighted imaging. Prognosis in this syndrome is dependent on the extent of involvement of surrounding brain-stem-structures, as described in three different cases.