Athetoid cerebral palsy

Athetoid cerebral palsy is a type of cerebral palsy characterized by involuntary, slow, writhing movements. It is also known as dyskinetic cerebral palsy and is one of the less common forms of cerebral palsy, affecting approximately 10-20% of individuals with the condition.

Signs and Symptoms

Individuals with athetoid cerebral palsy often exhibit a combination of hypertonia (increased muscle tone) and hypotonia (decreased muscle tone), which can fluctuate. The involuntary movements, known as athetosis, can affect any part of the body, including the face, arms, and legs. These movements can make it difficult for individuals to maintain a stable posture and perform coordinated movements.

Common symptoms include:

• Involuntary, writhing movements
• Difficulty with speech and swallowing
• Poor posture
• Challenges with fine motor skills
• Fluctuating muscle tone

Causes

Athetoid cerebral palsy is typically caused by damage to the basal ganglia or cerebellum in the brain. This damage can occur due to various factors, including:

• Hypoxia (lack of oxygen) during birth
• Kernicterus (a type of brain damage caused by severe jaundice)
• Infections during pregnancy
• Traumatic brain injury

Diagnosis

Diagnosis of athetoid cerebral palsy involves a combination of medical history, physical examination, and diagnostic tests. Magnetic resonance imaging (MRI) and computed tomography (CT) scans are commonly used to identify brain abnormalities. Early diagnosis is crucial for effective management and intervention.

Treatment

While there is no cure for athetoid cerebral palsy, various treatments can help manage symptoms and improve quality of life. These may include:

• Physical therapy to improve muscle strength and coordination
• Occupational therapy to enhance daily living skills
• Speech therapy to address communication difficulties
• Medications to manage muscle tone and control involuntary movements
• Surgical interventions in severe cases

Prognosis

The prognosis for individuals with athetoid cerebral palsy varies depending on the severity of the condition and the effectiveness of interventions. With appropriate therapy and support, many individuals can lead fulfilling lives and achieve a degree of independence.

See Also

• Cerebral palsy
• Dyskinetic cerebral palsy
• Hypertonia
• Hypotonia
• Athetosis
• Basal ganglia
• Cerebellum