Athetosis is
a symptom characterized by slow, involuntary, convoluted, writhing movements of
the fingers, hands, toes, and feet and in some cases, arms, legs, neck and
tongue. Movements typical of athetosis are sometimes called athetoid
movements. Lesions to the brain are most often the direct cause of the
symptoms, particularly to the corpus striatum. This symptom does not occur
alone and is often accompanied by the symptoms of cerebral palsy, as it is
often a result of this disease. Treatments for athetosis are not very
effective, and in most cases are simply aimed at the uncontrollable movement,
rather than the cause itself.
Signs and
Symptoms
Athetosis
can vary from mild to severe motor dysfunction; it is generally characterized
by unbalanced, involuntary movements of muscle tone and a difficulty
maintaining a symmetrical posture. The associated motor dysfunction can be
restricted to a part of body or present throughout the body, depending on the
individual and the severity of the symptom. One of the pronounced signs can be
observed in the extremities in particular, as the writhing, convoluted movement
of the digits. Athetosis can appear as early as 18 months from birth with
first signs including difficulty feeding, hypotonia, spasm, and involuntary
writhing movements of the hands, feet, and face, which progressively worsen
through adolescence and at times of emotional distress. Athetosis is caused
by lesions in several brain areas such as the hippocampus and the motor
thalamus, as well as the corpus striatum; therefore children during the
developmental age could possibly suffer from cognitive deficits such as speech
impairment, hearing loss, and failed or delayed acquirement of sitting
balance.
Causes
Athetosis is
a symptom primarily caused by the marbling, or degeneration of the basal
ganglia. This degeneration is most commonly caused by
complications at birth or by Huntington's disease, in addition to rare cases in
which the damage may also arise later in life due to stroke or trauma. The two complications of particular interest are intranatal asphyxia
and neonatal jaundice.