PYRAMIDAL DECUSSATION

\pɪɹˈamɪdə͡l dɪkəsˈe͡ɪʃən], \pɪɹˈamɪdə‍l dɪkəsˈe‍ɪʃən], \p_ɪ_ɹ_ˈa_m_ɪ_d_əl d_ɪ_k_ə_s_ˈeɪ_ʃ_ə_n]\
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2010 - Medical Dictionary Database
By DataStellar Co., Ltd
 
1916 - Appleton's medical dictionary
By Smith Ely Jelliffe