Hemiplegia cruzada associada a impressão basilar, malformação de Arnold-Chiari e siringomielia: relato de caso

Silva, José Alberto Gonçalves da; Costa, Maria Desterro Leiros da; Leal, Aliane Barbosa; Reis, Fernanda Rodrigues dos; Queiroz, Ronaldo Bezerra de

doi:10.1590/S0004-282X1996000400019

Resumos

Os autores apresentam um caso de hemiplegia cruzada associada a impressão basilar, malformação de Arnold-Chiari e siringomielia. Discutem as propostas anatômicas e a fiopatogenia desta síndrome de ocorrência bastante rara.

hemiplegia cruzada; impressão basilar; malformação de Arnold-Chiari; siringomielia

The authors report a case of cruciate hemiplegia associated with basilar impression, Chiari malformation and syringomyelia. The neuroanatomical controversy, the surgical treatment and the good outcome of the patient are discussed.

cruciate hemiplegia; basilar impression; Chiari malformation; syringomyelia

Hemiplegia cruzada associada a impressão basilar, malformação de Arnold-Chiari e siringomielia: relato de caso

Cruciate hemiplegia associated with basilar impression, Arnold-Chiari malformation and syringomyelia: case report

José Alberto Gonçalves da Silva^I; Maria Desterro Leiros da Costa^II; Aliane Barbosa Leal^II; Fernanda Rodrigues dos Reis^II; Ronaldo Bezerra de Queiroz^II

^IServiço de Neurologia e Neurocirurgia do Hospital Santa Isabel, João Pessoa, Paraíba: Neurocirurgião

^IIServiço de Neurologia e Neurocirurgia do Hospital Santa Isabel, João Pessoa, Paraíba: Neurologista

RESUMO

Os autores apresentam um caso de hemiplegia cruzada associada a impressão basilar, malformação de Arnold-Chiari e siringomielia. Discutem as propostas anatômicas e a fiopatogenia desta síndrome de ocorrência bastante rara.

Palavras-chave: hemiplegia cruzada, impressão basilar, malformação de Arnold-Chiari, siringomielia.

ABSTRACT

The authors report a case of cruciate hemiplegia associated with basilar impression, Chiari malformation and syringomyelia. The neuroanatomical controversy, the surgical treatment and the good outcome of the patient are discussed.

Key words: cruciate hemiplegia, basilar impression, Chiari malformation, syringomyelia.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 28-julho-1996.

Dr. José Alberto Gonçalves da Silva - Avenida Minas Gerais 1150 - 58030-092 João Pessoa PB - Brasil.

Referências bibliográficas

1. Batzdorf U. Chiati I malformation with syringomyelia: evaluation of surgical therapy by magnetic resonance imaging. J Neurosurg 1988;68:726-730.
2. Bell HS. Paralysis of both arms from injury of the upper portion of the pyramidal decussation: "cruciate paralysis". J Neurosurg 1970:53:378-380.
3. Bernsmeier A. Die zirkulatorisch bedingten Krankheitsbilder des Gehirns. In Bodechtel G. Differentialdiagnose neurologischer Krankheitsbilder. Stuttgart: Georg Thieme Verlag, 1963:213.
4. Brun R. Drei Fälle von seltenem unterem Oblongata-Syndrom (Hemiplegia cruciata und Hemiplegia altemans infima). Schweiz Arch Neurol 1952;68:248-271.
5. Ciappetta P, Salvati M, Raco A, Ártico M. Cruciate hemiplegia: a clinical syndrome, a neuroanatomical controversy. Report of two cases and review of the literature. Surg Neurol 1990;34:43-47.
6. Coxe WS, Landau WM. Patterns of Marchi degeneration in the monkey pyramidal tract following small discrete cortical lesions. Neurology 1970;20:89-100.
7. DeJong RN. Medullary and related syndromes. In Dejong RN. The neurologic examination. New York: Harper & Row, 1967: 347-348.
8. Dumitru D, Lang JE. Cruciate paralysis: case report. J Neurosurg 1986;65:108-110.
9. Gardner WJ. Hydrodynamic mechanism of syringomyelia: its relationship to myelocele. J Neurol Neurosurg Psychiatry 1965; 28:247-259.
10. Gonçalves da Silva JA, Goncalves da Silva CE. Postoperative Komplikationen bei 126 Fallen basilärer Impression und Arnold-Chairischer Missbildung. Neurochirurgia 1981;24:153-157.
11. Haymaker W. Localization of lesions incolving the brainstem and emergent nerves. In Haymaker W. Bing's local diagnosis in neurological diseases. Saint Louis: Mosby, 1969:150.
12. Kertesz A, Geschwind N. Patterns of pyramidal decussation and their relationship to handeness. Arch Neurol 1971 ;24:326-332.
13. Landau WM. Neuroanatomy of the pyramidal decussation. J Neurosurg 1986;65:884.
14. Nathan PW, Smith MC. Long descending tracts in man: I. Review of present knowledge. Brain 1955;78:248-303.
15. Pappas CTE, Gibson AR, Sonntag VKH. Decussation of hind-limb and fore-limb fibers in the monkey corticospinal tract: relevance to cruciate paralysis. J Neurosurg 1991 ;75:935-940.
16. Sahuquillo J, Rubio E, Poca MA, Rovira A, Rodriguez-Baeza A, Cervera C. Posterior fossa reconstruction: a surgical technique for the treatment of Chiari I malformation and Chiari I syringomyelia complex: preliminary results and magnetic resonance imaging quantitative assessment of hindbrain migration. Neurosurgery 1994;35:874-885.
17. Scharfetter C. Die wahre und die falsche Hemiplegia cruciata: die bulbäre Hemiplegia cruciata und ihre Imitation durch eine corticale bilaterale Monoplegie. Arch Psychiat Nervenkr 1965;206:441-453.
18. Schneider RC, Cherry G, Pantek H. The syndrome of acute central cervical spinal cord injury with special reference to the mechanisms involved in hyperxtension injuries of cervical spine. J Neurosurg 1954; 11:546-577.
19. Schneider RC, Schemm GW. Vertebral artery insufficiency in acute and chronic spinal trauma with special reference to the syndrome of acute central cervical spinal cord injury. J Neurosurg 1961;18:348-360.
20. Wallenberg A. Klinische Beiträge zur Diagnostik acuter Herderkrankungen des verlängerten Markes und der Brücke. Dtsch Z Nervenheilk 1901 ;19:227-248.
21. Wallenberg A. Neuere Fortschritte in der topischen Diagnostik des Pons und der Oblongata. Dtsch Z Nervenheilk 1991 ;48:8-41.
22. Williams B. A critical appraisal of posterior fossa surgery for communicating syringomyelia. Brain 1978; 101:223-250.
23. Williams B. Surgery for hindbrain related syringomyelia. In Advances and technical standards in neurosurgery. Wien: Springer-Verlag. 1993: 107-164.

Datas de Publicação

Publicação nesta coleção
12 Nov 2010
Data do Fascículo
Dez 1996

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Batzdorf U. Chiati I malformation with syringomyelia: evaluation of surgical therapy by magnetic resonance imaging. J Neurosurg 1988;68:726-730.

[2] 2. Bell HS. Paralysis of both arms from injury of the upper portion of the pyramidal decussation: "cruciate paralysis". J Neurosurg 1970:53:378-380.

[3] 3. Bernsmeier A. Die zirkulatorisch bedingten Krankheitsbilder des Gehirns. In Bodechtel G. Differentialdiagnose neurologischer Krankheitsbilder. Stuttgart: Georg Thieme Verlag, 1963:213.

[4] 4. Brun R. Drei Fälle von seltenem unterem Oblongata-Syndrom (Hemiplegia cruciata und Hemiplegia altemans infima). Schweiz Arch Neurol 1952;68:248-271.

[5] 5. Ciappetta P, Salvati M, Raco A, Ártico M. Cruciate hemiplegia: a clinical syndrome, a neuroanatomical controversy. Report of two cases and review of the literature. Surg Neurol 1990;34:43-47.

[6] 6. Coxe WS, Landau WM. Patterns of Marchi degeneration in the monkey pyramidal tract following small discrete cortical lesions. Neurology 1970;20:89-100.

[7] 7. DeJong RN. Medullary and related syndromes. In Dejong RN. The neurologic examination. New York: Harper & Row, 1967: 347-348.

[8] 8. Dumitru D, Lang JE. Cruciate paralysis: case report. J Neurosurg 1986;65:108-110.

[9] 9. Gardner WJ. Hydrodynamic mechanism of syringomyelia: its relationship to myelocele. J Neurol Neurosurg Psychiatry 1965; 28:247-259.

[10] 10. Gonçalves da Silva JA, Goncalves da Silva CE. Postoperative Komplikationen bei 126 Fallen basilärer Impression und Arnold-Chairischer Missbildung. Neurochirurgia 1981;24:153-157.

[11] 11. Haymaker W. Localization of lesions incolving the brainstem and emergent nerves. In Haymaker W. Bing's local diagnosis in neurological diseases. Saint Louis: Mosby, 1969:150.

[12] 12. Kertesz A, Geschwind N. Patterns of pyramidal decussation and their relationship to handeness. Arch Neurol 1971 ;24:326-332.

[13] 13. Landau WM. Neuroanatomy of the pyramidal decussation. J Neurosurg 1986;65:884.

[14] 14. Nathan PW, Smith MC. Long descending tracts in man: I. Review of present knowledge. Brain 1955;78:248-303.

[15] 15. Pappas CTE, Gibson AR, Sonntag VKH. Decussation of hind-limb and fore-limb fibers in the monkey corticospinal tract: relevance to cruciate paralysis. J Neurosurg 1991 ;75:935-940.

[16] 16. Sahuquillo J, Rubio E, Poca MA, Rovira A, Rodriguez-Baeza A, Cervera C. Posterior fossa reconstruction: a surgical technique for the treatment of Chiari I malformation and Chiari I syringomyelia complex: preliminary results and magnetic resonance imaging quantitative assessment of hindbrain migration. Neurosurgery 1994;35:874-885.

[17] 17. Scharfetter C. Die wahre und die falsche Hemiplegia cruciata: die bulbäre Hemiplegia cruciata und ihre Imitation durch eine corticale bilaterale Monoplegie. Arch Psychiat Nervenkr 1965;206:441-453.

[18] 18. Schneider RC, Cherry G, Pantek H. The syndrome of acute central cervical spinal cord injury with special reference to the mechanisms involved in hyperxtension injuries of cervical spine. J Neurosurg 1954; 11:546-577.

[19] 19. Schneider RC, Schemm GW. Vertebral artery insufficiency in acute and chronic spinal trauma with special reference to the syndrome of acute central cervical spinal cord injury. J Neurosurg 1961;18:348-360.

[20] 20. Wallenberg A. Klinische Beiträge zur Diagnostik acuter Herderkrankungen des verlängerten Markes und der Brücke. Dtsch Z Nervenheilk 1901 ;19:227-248.

[21] 21. Wallenberg A. Neuere Fortschritte in der topischen Diagnostik des Pons und der Oblongata. Dtsch Z Nervenheilk 1991 ;48:8-41.

[22] 22. Williams B. A critical appraisal of posterior fossa surgery for communicating syringomyelia. Brain 1978; 101:223-250.

[23] 23. Williams B. Surgery for hindbrain related syringomyelia. In Advances and technical standards in neurosurgery. Wien: Springer-Verlag. 1993: 107-164.