Abnormal Posturing
Look For
- Abnormal flexion and / or extension of limbs, in an uncomfortable position.
 
Interpretation
- Decorticate - flexion, adduction and internal rotation of the arms; supination of the forearms and extension of the legs.Damage to cerebral hemispheres with brain stem preservation
 - Decerebrate - extension of the arms, pronation of the forearms extension of the legsDamage to upper brain stem
 - Opisthotonic - secerebrate posturing with posterior arching of the neck and back.Severe damage to the upper brain stem
 
Causes of Abnormal Posturing
- Head injury
 - Intracranial bleed
 - Cerebral infarction
 - Intracranial hypertension
 - Encephalopathy - drugs, toxins, infection, hepatic
 - Tumour - primary or secondary
 
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