Decerebrate posture is an abnormal body posture that involves the arms and legs being held straight out, the toes being pointed downward, and the head and neck being arched backwards. The muscles are tightened and held rigidly. This type of posturing usually means there has been severe damage to the brain.
A severe injury to the brain is the usual cause of decerebrate posture.
Decerebrate posture can occur on one side, on both sides, or in just the arms. It may alternate with
- Bleeding in the brain from any cause (intracranial hemorrhage)
- Brain stem tumor
- Cerebral infarction (
- Encephalopathy (brain problem due to drugs, poisoning, or infection)
Head injury Hepatic encephalopathy(brain problem due to liver failure) Increased pressure in the brain(intracranial hypertension) from any cause Primary brain tumor
- Secondary brain tumor
Conditions related to decerebrate posture need to be treated right away in a hospital.
When to Contact a Medical Professional
Abnormal posturing of any kind usually occurs with a reduced level of alertness. Anyone who has an abnormal posture should be examined right away by a health care provider.
What to Expect at Your Office Visit
The person will need emergency treatment right away. This includes breathing assistance and placement of a breathing tube. The person will likely be admitted to the hospital and placed in intensive care.
Once the person is stable, the health care provider will obtain a complete medical history from family members or friends and do a more complete physical examination, including a brain and nervous system assessment.
Family members will be asked questions about the person’s medical history, including:
- When did this behavior start?
- Is there a pattern to the occurrences?
- Is it always the same type of posture?
- Is there any history of a head injury or other condition?
- What other symptoms came before or with the abnormal posturing?
Tests may include:
- Blood and urine tests to check blood counts, screen for drugs and toxic substances, and measure body chemicals and minerals
Cerebral angiography(dye and x-ray study of blood vessels in the brain) CTor MRI of the head EEG(brain wave testing) Intracranial pressure (ICP) monitoring
The outlook depends on the cause. There may be brain and nervous system injury and permanent brain damage, which can lead to:
Inability to communicate