Anatomical Findings of Hemiplegia Cruciata in Multiple Sclerosis

Hye Young Jeong; Eun Joo Chung; Eung Gyu Kim; Jong Seok Bae

doi:10.14253/kjcn.2014.16.1.39

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Jeong, Chung, Kim, and Bae: Anatomical Findings of Hemiplegia Cruciata in Multiple Sclerosis

Case Report

Korean J Community Nutr 2014;16(1):39-41.

Published online: 18 January 2014

DOI: https://doi.org/10.14253/kjcn.2014.16.1.39

Anatomical Findings of Hemiplegia Cruciata in Multiple Sclerosis

Hye Young Jeong, Eun Joo Chung, Eung Gyu Kim, Jong Seok Bae

Department of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea

Address for correspondence; Eun Joo Chung Department of Neurology, Busan Paik hospital, Inje University College of Medicine, 75 Bokji-ro, Busanjin-gu, Busan 614-735, Korea Tel: +82-51-890-6440 Fax: +82-51-895-6367 E-mail: strokerchung@daum.net

Received 17 January 2014 Revised 9 May 2014 Accepted 9 June 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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. (Korean J Clin Neurophysiol 2014;16:39-41)

Keywords: Crossed hemiplegia, Multiple sclerosis, Pyramidal decussation

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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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