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Athetoid cerebral palsy

Athetoid cerebral palsy is a less common type of CP that affects a child’s ability to control their muscles. It may cause slow, twisting movements, sudden jerks, or floppy muscle tone. Many kids are not diagnosed until they miss milestones. Learn how to recognize the signs and understand what athetoid CP means for your child.

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About 70% of cerebral palsy cases result from a birth injury. Was your child one of them?

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What is athetoid cerebral palsy?

A child with cerebral palsy sits in a specialized wheelchair, looking toward a person in front of them.Athetoid cerebral palsy is a type of CP that makes it hard for children to control how they move. It can cause twisting, jerking movements, or muscles that alternate between being very stiff and very floppy.

Many symptoms of cerebral palsy appear slowly, often when a baby shows developmental delays like sitting up, crawling, or grasping toys. These motor challenges may continue as the child grows, affecting their ability to walk, use their hands, or speak clearly.

If you’re worried your child may have cerebral palsy, getting a diagnosis is an important step. Our team includes registered nurses who are here to listen, explain what could have happened during birth, and help you get the answers you deserve.

“The Cerebral Palsy Guide difference is the nurses. We have a combined experience of over 60 years working on the labor and delivery unit.”

– Beth Carter, RN, On-Staff Registered Nurse

While there is no cure, treatment for athetoid CP may improve function and prevent complications as your child grows, but it can be costly. If the condition was caused by a preventable birth injury, financial support may be available.

We’ve connected thousands of families with qualified local cerebral palsy lawyers. Our trusted legal partners have secured over $1 billion in birth injury compensation, and they may be able to help you, too.

Connect with a nurse today — at no cost — to see if we can help your family take the next step.

Causes and risk factors of athetoid CP

Athetoid cerebral palsy is caused by damage to the parts of the brain that control movement, including the basal ganglia, thalamus, and cerebellum. This brain damage usually occurs during pregnancy, delivery, or shortly after birth.

These complications can increase the risk of athetoid CP:
  • Birth asphyxia: A lack of oxygen during delivery
  • Blood clotting disorders: Conditions that reduce oxygen supply to the brain
  • Genetic mutations: Rare changes in DNA that affect brain development
  • Infections: Toxoplasmosis, rubella, or cytomegalovirus (CMV)
  • Kernicterus: Severe jaundice left untreated can lead to brain damage
  • Low birth weight or prematurity: Babies born early are at higher risk of brain injury

Some of these causes, like genetic changes, may not be preventable. However, others may involve missed warning signs or delayed medical care, especially during labor and delivery.

Can medical negligence cause athetoid cerebral palsy?

In some cases, yes, the athetoid type of cerebral palsy can be the result of medical malpractice that leads to preventable brain damage. This happens when doctors, nurses, or other health care providers fail to act quickly or follow proper procedures during childbirth.

Medical negligence that can result in athetoid cerebral palsy may include:

If a medical mistake caused your child’s condition, your family may be entitled to compensation for care, therapy, and long-term needs.

However, there are strict legal deadlines, called statutes of limitations, that apply. If you miss your window, you may lose the chance to take legal action forever. Don’t wait. Our team can help you understand what may have gone wrong.

Get a free case review right now to see if your family may be eligible for financial support.

Athetoid cerebral palsy symptoms

Athetoid cerebral palsy affects the way a child moves and controls their muscles. The most recognizable symptom is uncontrolled movement, but signs may not appear right away.

In many cases, symptoms gradually show up as a baby misses key milestones in the first year of life. Children with athetoid CP often have trouble controlling movement in their hands, arms, feet, or face.

Muscle tone may shift between too stiff (hypertonia) and too floppy (hypotonia), which can make everyday tasks like sitting, holding toys, or feeding very difficult.

Speech, posture, and coordination can also be affected. Athetoid CP symptoms are often unpredictable and may get worse when the child is stressed or trying to focus. Learn more about what to watch for in your baby below.

Early signs of athetoid CP in babies

Some signs of athetoid CP may appear in the first few months of life, but others may not be noticeable until a baby misses developmental milestones.

Here are 7 early signs that could mean your child has cerebral palsy:

  1. Delayed motor skills, like rolling over, sitting up, or crawling
  2. Favoring one side of the body, such as reaching with only one hand
  3. Feeding difficulties, such as trouble sucking or swallowing
  4. Floppy or stiff muscle tone that changes from day to day
  5. Poor head control by 3 to 4 months of age
  6. Trouble holding objects or letting go when asked
  7. Unusual movements, like slow, twisting motions in the hands or face

Our nurses are here to help you understand if the symptoms you're noticing could be the athetoid type of cerebral palsy. You can talk to one of our nurses in private, and it’s always free. Connect with a nurse now.

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Types of involuntary athetoid movements

Athetoid cerebral palsy is one form of dyskinetic CP, a type of cerebral palsy that causes uncontrolled movements due to brain damage affecting motor control.

Dyskinetic CP includes several movement patterns, and many children with athetoid CP experience a mix of them.

These are 5 common movement types linked to athetoid cerebral palsy:
  1. Athetosis: Slow, writhing movements, often in the hands, feet, or face
  2. Chorea: Sudden, jerky motions, especially in the fingers or toes
  3. Choreathetosis: A combination of both athetosis and chorea
  4. Dystonia: Twisting or repetitive movements, sometimes affecting posture
  5. Dyskinesia: A general term for any type of involuntary movement

Because these symptoms can overlap, some children are diagnosed with mixed-type cerebral palsy, like spastic-dyskinetic CP or choreoathetoid cerebral palsy, when they show signs of more than one movement disorder.

What parts of the brain are affected by the athetoid type of cerebral palsy?

Athetoid cerebral palsy happens when certain areas of a baby’s brain are damaged. These areas help control how the body moves.

When the brain is injured, it can lead to the unpredictable motions and muscle tone problems seen in athetoid CP. Learn more about what parts of the brain are affected below.

Basal ganglia damage

The basal ganglia are deep inside the brain and help control smooth, coordinated movement. They tell the body when to move and when to stop moving.

If this area is damaged, a child may have trouble controlling their muscles. This can lead to twisting motions, jerky movements, or sudden changes in muscle tone.

Cerebellum damage

The cerebellum sits at the back of the brain and helps with balance and coordination. When the cerebellum is damaged, a child may struggle to keep their balance, walk steadily, or control fine motor movements like reaching and grabbing.

While cerebellum damage is less common in athetoid CP than basal ganglia damage, it can still affect how a child moves and responds to the world around them.

Thalamus damage

The thalamus helps send signals between different parts of the brain and body. It plays a role in movement control, sensory processing, and alertness.

Damage to the thalamus can affect how the brain manages motor function, which may contribute to the involuntary movements seen in athetoid CP. Though less common, thalamic injury can be involved in some cases of dyskinetic cerebral palsy.

Athetoid cerebral palsy treatment

Getting the right cerebral palsy treatment can help children with athetoid CP gain more independence, improve daily function, and prevent future complications. Therapies are often tailored to each child’s needs and may change as they grow.

Many children with the athetoid type of cerebral palsy benefit from a combination of treatments to manage symptoms and improve quality of life. Learn more about the most common athetoid cerebral palsy treatment options below.

Physical therapy

Cerebral palsy physical therapy focuses on improving movement, strength, and posture. Children with athetoid CP may struggle to control their limbs or hold themselves upright, and therapy can help strengthen muscles used for balance and coordination.

Therapists often use stretching, guided movement exercises, and tools like resistance bands to build strength and reduce stiffness or floppiness. In some cases, facial and tongue muscles may be targeted to help with grimacing, drooling, or speaking.

Occupational therapy

Cerebral palsy occupational therapy helps children develop the skills needed for daily life, including dressing, eating, writing, and using mobility devices. For children with the athetoid type of cerebral palsy, occupational therapy often focuses on improving hand control, grip strength, and coordination.

Therapists may use play-based activities, adaptive tools, or weighted exercises to help children build confidence and independence at home, in school, and in social settings.

Speech therapy

Children with athetoid CP may have trouble speaking, swallowing, or controlling facial muscles. Speech therapy can improve communication skills, help with breathing and voice control, and make eating safer and easier.

Over time, many children gain better control over their mouth, lips, and tongue through regular speech therapy sessions.

Medication

CP medications are often used to treat symptoms or related conditions in children with athetoid cerebral palsy.

Medications used to treat athetoid cerebral palsy may include:

  • ADHD medications: Such as Ritalin®, which may help with focus and behavior
  • Anticonvulsants: To reduce seizures
  • Medications for drooling or reflux: To manage feeding and swallowing issues
  • Muscle relaxants: To ease involuntary movements
  • Sleep aids or antidepressants: For children struggling with sleep or emotional health

All medications should be carefully monitored by a doctor to manage side effects and adjust as needed.

Surgery

Cerebral palsy surgery is less common in children with athetoid CP, but it may be considered in some cases. Procedures can help correct joint dislocations or muscle imbalances caused by abnormal movement patterns or high muscle tone.

Orthopedic surgery and other procedures may be recommended based on a child’s individual needs and how their condition progresses with age.

Get help for your child’s cerebral palsy

If your child has been diagnosed with athetoid cerebral palsy, getting the right support can make all the difference. This type of CP often causes unpredictable movements and lifelong challenges that most families are not prepared to face alone.

If you believe something went wrong during labor or delivery, you deserve answers. A single medical mistake may have caused the brain damage that led to your child’s condition — and taking action now could help you secure the care they need.

Cerebral Palsy Guide is committed to helping families affected by preventable birth injuries. Our network of trusted lawyers has recovered over $1 billion for birth injuries, including athetoid cerebral palsy.

Call our trained patient advocates at (855) 220-1101 or get a free case review right now to find out how we can help.

Athetoid cerebral palsy FAQs

What is athetoid cerebral palsy?

The athetoid type of cerebral palsy causes involuntary movements and difficulty controlling muscle tone. Children with this condition often experience twisting motions, sudden jerks, or muscles that alternate between being too stiff and too floppy.

Is athetoid CP the same as dyskinetic cerebral palsy?

Athetoid cerebral palsy is a form of dyskinetic CP caused by damage to parts of the brain that control movement, like the basal ganglia. Symptoms may appear gradually as a baby misses early milestones, like sitting up or grasping toys.

What does athetoid cerebral palsy look like?

Athetoid cerebral palsy often appears as slow, twisting movements or sudden jerks in a child’s arms, legs, or face. These movements are involuntary, meaning the child cannot control them.

You may also notice fluctuating muscle tone, so some days the child seems floppy, while other days their muscles are stiff and tense.

Children with the athetoid type of cerebral palsy may struggle to hold their head up, maintain posture, or use their hands for tasks like grasping toys or feeding themselves.

What are three early signs of cerebral palsy?

Three early signs of cerebral palsy in babies may include:

  1. Poor head control by 3 to 4 months of age
  2. Stiff or floppy muscle tone that doesn’t improve over time
  3. Delayed motor milestones, such as not rolling over, sitting up, or reaching for toys

These signs may appear gradually and can vary by CP type. If you notice any of these symptoms and have questions, our nurses are standing by to talk with you.

Call us at (855) 220-1101 to talk in private and free of charge.

What is the difference between spastic and athetoid cerebral palsy?

Spastic cerebral palsy causes stiff, tight muscles and difficulty with movement due to increased muscle tone. In contrast, athetoid cerebral palsy causes involuntary movements and fluctuating muscle tone that shifts between being too stiff (hypertonia) and too floppy (hypotonia).

Spastic CP is the most common type, while the athetoid type of cerebral palsy is less common and typically involves more unpredictable motion, especially in the face, arms, and upper body.

What are the 4 types of cerebral palsy?

Cerebral palsy is typically divided into four main types based on how it affects movement:

  1. Spastic CP: Causes stiff, tight muscles and difficulty with movement
  2. Athetoid (dyskinetic) CP: Leads to involuntary movements and shifting muscle tone
  3. Ataxic CP: Affects balance, coordination, and precise movements
  4. Hypotonic CP: Involves unusually low muscle tone, often making the body appear floppy

A fifth type, mixed CP, occurs when a child shows symptoms of more than one type, such as spastic and athetoid combined.

If you’re unsure whether your child’s symptoms could be signs of cerebral palsy, our nurses are here to listen, answer your questions, and help you understand what steps to take next.

Call us right now at (855) 220-1101 or Click to Live Chat to connect with one of our registered nurses.

What does athetosis look like?

Athetosis causes slow, writhing, and involuntary movements, especially in the hands, feet, face, or tongue. These motions can make it hard for a child to hold a posture, grasp objects, speak clearly, or perform everyday tasks.

The movements may get worse when the child tries to focus or move with intention and often disappear during sleep.

Can athetoid cerebral palsy be cured?

No, athetoid cerebral palsy cannot be cured. It is a lifelong condition caused by brain damage that affects movement and muscle tone. Treatment can help improve daily function, but care can be expensive and ongoing.

If the condition was caused by a preventable birth injury, cerebral palsy financial support may be available to help your child get the best possible care.

Reviewed by:Katie Lavender, RN

Registered Nurse

  • Fact-Checked
  • Editor

Katie Lavender has over 10 years of experience as a Registered Nurse in postpartum mother/baby care. With hands-on experience in Labor and Delivery and a role as a Community Educator for newborn care, Katie is a staunch advocate for patient rights and education. As a Medical Reviewer, she is committed to ensuring accurate and trustworthy patient information.

Cerebral Palsy Guide was founded upon the goal of educating families about cerebral palsy, raising awareness, and providing support for children, parents, and caregivers affected by the condition. Our easy-to-use website offers simple, straightforward information that provides families with medical and legal solutions. We are devoted to helping parents and children access the tools they need to live a life full of happiness

  1. Centers for Disease Control and Prevention. (2025). About cerebral palsy. Retrieved from https://www.cdc.gov/cerebral-palsy/about/index.html.
  2. Cerebral Palsy Alliance. (n.d.). Dyskinetic cerebral palsy (dyskinesia). Retrieved from https://cparf.org/what-is-cerebral-palsy/types-of-cerebral-palsy/dyskinetic-cerebral-palsy-dyskinesia/.
  3. Cleveland Clinic. (2023). Athetoid cerebral palsy. Retrieved from https://my.clevelandclinic.org/health/diseases/25198-athetoid-cerebral-palsy.
  4. Li, X. & Arya, K. (2022). Athetoid cerebral palsy. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK563160/.
  5. University of Texas Health Science Center at Houston. (n.d.). Cerebral palsy and spasticity. Retrieved from https://med.uth.edu/neurosciences/conditions-and-treatments/cerebral-palsy-and-spasticity/.
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