Athetosis and dystonia are well known clinical signs, described in dis
orders of basal ganglia. As opposed to pseudoathetosis, true athetosis
was hitherto not reported in cord lesions. We here report three patie
nts with athetosis and dystonia of hands due to intramedullary lesions
of cervical cord: two patients with syringomyelia and one with glioma
. Even though pseudoathetosis can be produced by lesions of posterior
columns and likely to be confused with the involuntary movements of ou
r patients, they had clinical and EMG findings consistent with true at
hetosis. A possible explanation for the athetosis and dystonia due to
cord lesion is being postulated.