Cervical myelopathy in athetoid and dystonic cerebral palsy: retrospective study and literature review
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http://www.medworm.com/index.php?rid=3169515&cid=c_1_31_f&fid=33431&url=...
Article Description:
Abstract The early onset of degenerative cervical lesions has been well described in patients suffering from athetoid or dystonic cerebral
palsy. Myelopathy can occur and aggravate of their unstable neurological status. Diagnosis and treatment are delayed and disrupted
by the abnormal movements. This retrospective study was implemented to evaluate the symptoms, the anatomical findings, and
the surgical management of seven patients from 20 to 56 years old suffering from cervical myelopathy and athetoid or dystonic
cerebral palsy. The mean delay in diagnosis was 15 months and the mean follow-up was 33 months. The initial symptoms were
spasticity, limbs weakness, paresthesias and vesico-sphinteric dysfunction. In addition to abnormal movements, imaging demonstra...