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11 November 2023: Articles

Two Cases of Degenerative Cervical Spondylotic Myelopathy in Adults with Athetoid and Dystonic Cerebral Palsy

Rare disease

Hayato Kinoshita A* , Michio Hongo C , Yuji Kasukawa B , Daisuke Kudo C , Ryota Kimura B , Naohisa Miyakoshi E

DOI: 10.12659/AJCR.941158

Am J Case Rep 2023; 24:e941158

Table 1. Classification of athetosis intensity.Mihara’s classification of athetosis intensity. The classification is a 5-point scale from grade 1 to grade 5. The higher the number, the stronger the athetosis intensity.

GradeInvoluntary head and neck movement strength
1Mild involuntary movements of the head and neck with speech or mental tension
2Frequent involuntary contractions of the cervical muscles, clearly observable from the body surface
3Head and neck movement with asymmetrical movement and deviation of the scapula and trunk
4Involuntary movements so strong that the examiner cannot manually immobilize the head and neck
5In addition to the strength, the acceleration is so great that the entire range of motion of the neck moves at once

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923