Decorticate posture

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Conditions associated with decorticate posture require immediate hospital treatment.

Abnormal posturing usually accompanies reduced consciousness. Anyone exhibiting an abnormal posture should be examined promptly by a health care provider.

In some conditions such as prolonged coma, these behaviors can persist for an extended period of time.

Emergency measures may begin immediately, including placement of an artificial airway (breathing tube) and assistance with breathing. You will likely be hospitalized in intensive care.

After the condition is stabilized, the medical history will be obtained from family members and a physical examination will be performed.

Medical history questions documenting decorticate posture in detail may include:

• When did this behavior start?
• Is there a pattern to the occurrences?
• Is it always the same type of posture?
• Is there any significant medical history (such as a known head injury)?
• What other symptoms preceded or accompanied the abnormal posturing?

Physical examination will include a detailed assessment of the nervous system.

Diagnostic testing may include:

• Head MRI or CT scan
• Cerebral angiography
• EEG
• ICP monitoring

Review Date: 04/28/2005
Reviewed By: Chitra R. Uppaluri, M.D., Clinical Assistant Professor of Medicine, Saint Louis University, St. Louis, MO. Review provided by VeriMed Healthcare Network.