Abnormal posturing causes: Difference between revisions

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==Causes==
==Causes==
Posturing has also been displayed by patients with [[Creutzfeldt-Jakob disease]].<ref name="Obi ">{{cite journal | last =Obi  | first =T | authorlink = | coauthors =Takatsu M, Kitamoto T, Mizoguchi K, Nishimura Y | title =A case of Creutzfeldt-Jakob disease (CJD) started with monoparesis of the left arm | journal =Rinsho Shinkeigaku (Clinical Neurology)  | volume =36 | issue =11 | pages =1245-1248 | publisher = | date =1996  | url = | doi = | id =PMID 9046857 | accessdate =2007-01-24 }} </ref> Decerebrate posturing can occur with diffuse cerebral [[hypoxia]].<ref name="pmid15094576">{{cite journal |author=De Rosa G, Delogu AB, Piastra M, Chiaretti A, Bloise R, Priori SG |title=Catecholaminergic polymorphic ventricular tachycardia: successful emergency treatment with intravenous propranolol |journal=Pediatric emergency care |volume=20 |issue=3 |pages=175-7 |year=2004 |pmid=15094576 |doi=}}</ref> [[Brain abscess]]es may also cause decorticate posturing.
===Common Causes===
*[[Apneustic respirations]]


===In Children===
*[[Brain abscesses]]
In children younger than age 2, posturing is not a reliable finding because their nervous systems are not yet developed. However, [[Reye's syndrome]] and traumatic brain injury can both cause decorticate posturing in children.


For reasons that are poorly understood, but which may be related to high intracranial pressure, children with [[malaria]] frequently exhibit decorticate, decerebrate, and opisthotonic posturing.<ref name="Idro ">{{cite journal | last =Idro  | first =R | authorlink = | coauthors =Otieno G, White S, Kahindi A, Fegan G, Ogutu B, Mithwani S, Maitland K, Neville BG, Newton CR | title = Decorticate, decerebrate and opisthotonic posturing and seizures in Kenyan children with cerebral malaria| journal =Malaria Journal | volume =4 | issue =57 | pages = | publisher = | date = | url =http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=16336645 | doi = | id =PMID 16336645 | accessdate =2007-01-21 }} </ref>
*[[Brain herniation]]
 
*[[Cerebral hemorrhage]]
 
*[[Cerebral venous sinus thrombosis]]
 
*[[Creutzfeldt-Jakob disease]]
 
*[[Decerebrate posture]]
 
*[[Decerebrate rigidity]]
 
*[[Decerebration]]
 
*[[Dystonia]]
 
*[[Epidural hematoma]]
 
*[[Focal dystonia]]
 
*[[Hypoxia]]
 
*[[Malaria]]
 
*[[Opisthotonus]]
 
*[[Pseudoathetosis]]
 
*[[Reye's syndrome]]
 
*[[Satoyoshi syndrome]]
 
*[[Ttraumatic brain injury]]


==References==
==References==

Revision as of 13:30, 22 January 2013

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Overview

Decerebrate and decorticate posturing can indicate that brain herniation is occurring[1] or is about to occur. Brain herniation is an extremely dangerous condition in which parts of the brain are pushed past hard structures within the skull. In herniation syndrome, which is indicative of brain herniation, decorticate posturing occurs, and, if the condition is left untreated, develops into decerebrate posturing.[1]

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References

  1. 1.0 1.1 Ayling, J (2002). "Managing head injuries". Emergency Medical Services. 31 (8): 42. PMID 12224233. |access-date= requires |url= (help)