Abnormal posturing: Difference between revisions

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	Abnormal posturing;
	Decorticate posturing, with elbows, wrists and fingers flexed, and legs extended and rotated inward.

VisualWikitext

Latest revision as of 15:18, 29 May 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: Decorticate posturing; decorticate response; decorticate rigidity; flexor posturing; mummy baby; decerebrate posturing; decerebrate response; decerebrate rigidity; extensor posturing

Overview

Classification

Pathophysiology

Causes

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Treatment

Medical Therapy | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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 {{CMG}}
+{{SK}} Decorticate posturing; decorticate response; decorticate rigidity; flexor posturing; mummy baby; decerebrate posturing; decerebrate response; decerebrate rigidity; extensor posturing
-==Decorticate posturing==
+==[[Abnormal posturing overview|Overview]]==
-Decorticate posturing is also called '''decorticate response''', '''decorticate rigidity''',  '''flexor posturing''', or "'''mummy baby'''".  Patients with decorticate posturing present with the arms flexed, or bent inward on the chest, the hands are clenched into fists, and the legs extended.  Decorticate posturing indicates damage to the [[mesencephalon|mesencephalic]] region, or the [[corticospinal tract]], along which impulses travel from the [[human brain|brain]] to the [[spinal cord]].<ref name="AllRefer.com"/>
+==[[Abnormal posturing classification|Classification]]==
-There are two parts to decorticate posturing.  The first is the disinhibition of the [[red nucleus]] with facilitation of the [[rubrospinal tract]].  The rubrospinal tract facilitates [[motor neuron]]s in the cervical spinal cord subserving flexor muscles of the upper extremities.  The second component of decorticate posturing is the disinhibition of the lateral [[vestibulospinal tract]] which facilitates motor neurons in the lower cord subserving extensor muscles of the lower extremities.  The disinhibition of these two tracts by lesions above the red nucleus is what leads to the characteristic flexion posturing of the upper extremities and extensor posturing of the lower extremities.  While an ominous sign of severe [[brain damage]], the damage of which decorticate posturing is indicative is not as serious as that indicated by decerebrate posturing.
+==[[Abnormal posturing pathophysiology|Pathophysiology]]==
-==Decerebrate posturing==
+==[[Abnormal posturing causes|Causes]]==
-Decerebrate posturing is also called '''decerebrate response''', '''decerebrate rigidity''', or '''extensor posturing'''. In decerebrate posturing, the head is arched back, the arms are extended by the sides, and the legs are extended. <ref name="adam"/>  Decerebrate posturing indicates [[brain stem]] damage or rather damage below the level of the [[red nucleus]] (eg. mid-collicular lesion).  A patient with decorticate posturing may begin to show decerebrate posturing, or may go from one form of posturing to the other;<ref name="AllRefer.com"/> progression from decorticate posturing to decerebrate posturing is often indicative of uncal (transtentorial) or tonsilar [[brain herniation]].  Posturing may occur on one or the other side of the body, or it may occur on both sides.<ref name="AllRefer.com"/> Activation of gamma motor neurons is thought to be important in decerebrate rigidity due to studies in animals showing that dorsal root transection eliminates decerebrate rigidity symptoms.<ref>Berne and Levy principles of physiology/[editors] Metthew N. Levy, Bruce M. Koeppen, Bruce A. Stanton.-4th ed.Philadelphia, PA: Elsevier Mosby, 2006.</ref>
-==References==
+==[[Abnormal posturing risk factors|Risk Factors]]==
-{{reflist|2}}
-*Victor M, Ropper A.  Adams and Victor's principles of neurology.  7th ed.  New York: McGraw-Hill, 2001.
+==[[Abnormal posturing natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
+==Diagnosis==
+[[Abnormal posturing history and symptoms|History and Symptoms]] | [[Abnormal posturing physical examination|Physical Examination]] | [[Abnormal posturing laboratory findings|Laboratory Findings]] | [[Abnormal posturing electrocardiogram|EKG]] | [[Abnormal posturing CT|CT]] | [[Abnormal posturing MRI|MRI]] | [[Abnormal posturing other imaging findings|Other Imaging Findings]] | [[Abnormal posturing other diagnostic studies|Other Diagnostic Studies]]
+==Treatment==
+[[Abnormal posturing medical therapy|Medical Therapy]] | [[Abnormal posturing cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Abnormal posturing future or investigational therapies|Future or Investigational Therapies]]
+==Case Studies==
+[[Abnormal posturing case study one|Case #1]]
 {{Nervous and musculoskeletal system symptoms and signs}}
-[[Category:Medical signs]]
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 [[Category:Neurotrauma]]
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+[[Category:Symptoms]]
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