We report a case of cruciate paralysis with a Jefferson ' s fracture and atlanto − occipital dislocation . A58 − year −old rnan was referred to our hospital because of an accidcntal fall . At the neurological exa 皿 ination , a bilatelaI motor deficit was observed in the upper limbs , but the lower limbs did not appear to be affected . Lef巨ower cranial nerves (IX , X , XII) dysfullctlon were noted . Three − dimensional CT of the cervical spine de皿 onstrated an atlanto − occipita 】dislocation . MRI showed that the medullo − cervical junction was squeezed between tlc occipit 田 bQne and the axis . The patient was treated using a ha正 o vest and , about three months later , he was treated by occipitocervical fusion . About onc month after the operation , he was discharged 丘o 皿 our hospital without any neurological deficits . Cruciate paralysis is an uncommon
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