Athetosis: Difference between revisions

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===Clinic===
===Clinic===
*It is an entity, characterized by slow, involuntary, convoluted, writhing movements of the fingers, hands, toes, and feet and in some cases, arms, legs, neck and tongue.
*It is an [[Entities list|entity]], characterized by slow, involuntary, convoluted, writhing movements of the fingers, hands, toes, and feet and in some cases, arms, legs, neck and tongue.
*Sometimes called ''athetoid'' movements.
*Sometimes called ''athetoid'' movements.
*Brain lesions particularly to corpus striatum or hippocampus and the motor thalamus
*Brain lesions particularly to corpus striatum or hippocampus and the motor thalamus

Latest revision as of 09:41, 23 November 2023


Clinic

  • It is an entity, characterized by slow, involuntary, convoluted, writhing movements of the fingers, hands, toes, and feet and in some cases, arms, legs, neck and tongue.
  • Sometimes called athetoid movements.
  • Brain lesions particularly to corpus striatum or hippocampus and the motor thalamus
  • It does not occur alone and is often accompanied by the symptoms of cerebral palsy, as it is often a result of this physical disability.
  • Athetosis typically involves the distal extremities (hands or feet) more than the proximal and it can also involve the face, neck, and trunk.


Signs and symptoms

  • Unbalanced, Difficulty maintaining a symmetrical posture.
  • It can appear as early as 18 months from birth which progressively worsen through adolescence and at times of emotional distress.
  • First signs including difficulty feeding, hypotonia, spasm, and involuntary writhing movements of the hands, feet, and face
  • Children during the developmental age could possibly suffer from severe communication deficits such as speech impairment, hearing loss.
  • They failed or delayed acquirement of sitting balance.
  • Although most people with athetosis have normal or near-normal intelligence.


Causes

  • Athetosis occurs when there has been damage to the corpus striatum (caudate and putamen) in the basal ganglia, most often in children with perinatal ischemia
  • Athetosis is a symptom primarily caused by the marbling, or degeneration of 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 (Thalamic stroke) or trauma.
  • The two complications of particular interest are intranatal asphyxia and neonatal jaundice.


Miasms:

CJD according to a case presentation in 1999. [1]

I think Athetosis is not a dynamic entity. It is a static dysfunction of BG, but if we want to find a similar miasm, we should consider its accompanies entities:

  • Mouth, Speech difficult
  • Hypotonia
  • Spasm
  • Face, Palsy
  • Hearing impaired

Therefore the best similar miasm would be PLV. Although there is no case report for this claim.


Related Entities

  • Chorea: Chorea is an ongoing random-appearing sequence of one or more discrete involuntary movements or movement fragments. Athetosis is a slow, continuous, involuntary writhing movement that prevents maintenance of a stable posture.
  • Dystonia: Athetosis is distinguished from dystonia by the lack of sustained postures, although it is frequently associated with dystonia so the distinction can be difficult in practice.
  • Stereotypy: Athetosis is not rhythmic or stereotyped
  • Catatonia
  1. Kaneko A, Takei K, Enomoto K, Mitsui T, Nomura K, Iwasaki S, Maruki T, Shimazu K. [A case of Creutzfeldt-Jakob disease exhibiting athetosis in the early stage]. No To Shinkei. 1999 Oct;51(10):887-90. Japanese. PMID: 10553590.