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Decerebrate posture

MedGen UID:
68540
•Concept ID:
C0231474
•
Finding
Synonyms: Decerebrate Posturing; Decerebrate Posturings; Posturing, Decerebrate; Posturings, Decerebrate
SNOMED CT: Decerebrate posture (23073007)

Definition

A posture characterized body rigidity and by extension of the neck, arms, and legs. It may indicate brain stem damage and may suggest herniation of the brain. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDecerebrate posture

Professional guidelines

PubMed

Successful treatment of cerebral herniation in five patients.
Zervas NT, Hedley-Whyte J
N Engl J Med 1972 May 18;286(20):1075-7. doi: 10.1056/NEJM197205182862003. PMID: 5018865
Medical management of closed head injuries.
Alexander E Jr
Clin Neurosurg 1972;19:240-50. doi: 10.1093/neurosurgery/19.cn_suppl_1.240. PMID: 4637552
Treatment of carbon monoxide poisoning by mechanical ventilation: case report.
Townsend GL, Stetson JB
Can Anaesth Soc J 1968 Mar;15(2):184-96. doi: 10.1007/BF03005725. PMID: 5241832

Recent clinical studies

Etiology

Acute liver failure as the initial manifestation of hepatic infiltration by a solid tumor: report of 5 cases and review of the literature.
Alexopoulou A, Koskinas J, Deutsch M, Delladetsima J, Kountouras D, Dourakis SP
Tumori 2006 Jul-Aug;92(4):354-7. doi: 10.1177/030089160609200417. PMID: 17036530
A case of leukoencephalopathy with vanishing white matter.
Topçu M, Saatci I, Apak RA, Söylemezoglu F
Neuropediatrics 2000 Apr;31(2):100-3. doi: 10.1055/s-2000-7481. PMID: 10832586
Non-traumatic coma--profile and prognosis.
Thacker AK, Singh BN, Sarkari NB, Mishra RK
J Assoc Physicians India 1997 Apr;45(4):267-70. PMID: 12521081
Ruptured middle cerebral artery aneurysm with intracerebral hemorrhage in younger patients appearing moribund: emergency operation?
Brandt L, Sonesson B, Ljunggren B, Säveland H
Neurosurgery 1987 Jun;20(6):925-9. doi: 10.1227/00006123-198706000-00018. PMID: 3614574

Diagnosis

Decerebrate posture following bilateral middle cerebral artery occlusion.
Nawashiro H, Wada K, Kita H
Intern Med 2011;50(18):2063. Epub 2011 Sep 15 doi: 10.2169/internalmedicine.50.5843. PMID: 21921403
Acute liver failure as the initial manifestation of hepatic infiltration by a solid tumor: report of 5 cases and review of the literature.
Alexopoulou A, Koskinas J, Deutsch M, Delladetsima J, Kountouras D, Dourakis SP
Tumori 2006 Jul-Aug;92(4):354-7. doi: 10.1177/030089160609200417. PMID: 17036530
Pattern of cerebral malaria in children at the Lagos University Teaching Hospital.
Lesi FE, Nwosu SU, Mafe AG, Egri-Okwaji MT
Niger Postgrad Med J 2005 Dec;12(4):275-9. PMID: 16380739
Early myoclonic epileptic encephalopathy (E.M.E.E.).
Dalla Bernardina B, Dulac O, Fejerman N, Dravet C, Capovilla G, Bondavalli S, Colamaria V, Roger J
Eur J Pediatr 1983 Jun-Jul;140(3):248-52. doi: 10.1007/BF00443371. PMID: 6414818
Upward transtentorial herniation: seven cases and a literature review.
Cuneo RA, Caronna JJ, Pitts L, Townsend J, Winestock DP
Arch Neurol 1979 Oct;36(10):618-23. doi: 10.1001/archneur.1979.00500460052006. PMID: 485890

Therapy

Rhabdomyolysis as a manifestation of clomipramine poisoning.
Santana NO, Góis AF
Sao Paulo Med J 2013;131(6):432-5. doi: 10.1590/1516-3180.2013.1316541. PMID: 24346784Free PMC Article
Hypotension due to interaction between lisinopril and tizanidine.
Kao CD, Chang JB, Chen JT, Wu ZA, Shan DE, Liao KK
Ann Pharmacother 2004 Nov;38(11):1840-3. Epub 2004 Sep 21 doi: 10.1345/aph.1E161. PMID: 15383642

Prognosis

MRI of fatal course of acute hemorrhagic leukoencephalitis in a child with SARS-CoV-2 omicron BA 2.0 infection.
Wong AM, Lin JJ, Hsia SH, Lin KL
Neuroradiology 2023 Jul;65(7):1179-1181. Epub 2023 May 18 doi: 10.1007/s00234-023-03160-7. PMID: 37199765Free PMC Article
Rhabdomyolysis as a manifestation of clomipramine poisoning.
Santana NO, Góis AF
Sao Paulo Med J 2013;131(6):432-5. doi: 10.1590/1516-3180.2013.1316541. PMID: 24346784Free PMC Article
Acute liver failure as the initial manifestation of hepatic infiltration by a solid tumor: report of 5 cases and review of the literature.
Alexopoulou A, Koskinas J, Deutsch M, Delladetsima J, Kountouras D, Dourakis SP
Tumori 2006 Jul-Aug;92(4):354-7. doi: 10.1177/030089160609200417. PMID: 17036530
Non-traumatic coma--profile and prognosis.
Thacker AK, Singh BN, Sarkari NB, Mishra RK
J Assoc Physicians India 1997 Apr;45(4):267-70. PMID: 12521081
Early myoclonic epileptic encephalopathy (E.M.E.E.).
Dalla Bernardina B, Dulac O, Fejerman N, Dravet C, Capovilla G, Bondavalli S, Colamaria V, Roger J
Eur J Pediatr 1983 Jun-Jul;140(3):248-52. doi: 10.1007/BF00443371. PMID: 6414818

Clinical prediction guides

Pattern of cerebral malaria in children at the Lagos University Teaching Hospital.
Lesi FE, Nwosu SU, Mafe AG, Egri-Okwaji MT
Niger Postgrad Med J 2005 Dec;12(4):275-9. PMID: 16380739
A case of leukoencephalopathy with vanishing white matter.
Topçu M, Saatci I, Apak RA, Söylemezoglu F
Neuropediatrics 2000 Apr;31(2):100-3. doi: 10.1055/s-2000-7481. PMID: 10832586
Decerebrate-like posturing with mechanical ventilation in brain death.
Martí-Fàbregas J, López-Navidad A, Caballero F, Otermin P
Neurology 2000 Jan 11;54(1):224-7. doi: 10.1212/wnl.54.1.224. PMID: 10636154
Non-traumatic coma--profile and prognosis.
Thacker AK, Singh BN, Sarkari NB, Mishra RK
J Assoc Physicians India 1997 Apr;45(4):267-70. PMID: 12521081
Early myoclonic epileptic encephalopathy (E.M.E.E.).
Dalla Bernardina B, Dulac O, Fejerman N, Dravet C, Capovilla G, Bondavalli S, Colamaria V, Roger J
Eur J Pediatr 1983 Jun-Jul;140(3):248-52. doi: 10.1007/BF00443371. PMID: 6414818

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