(5) Although more rare, a pattern of coma and focal neurological symptoms to include
decorticate posture and bilateral Babinski signs has been described.
It can be either of
decorticate or decerebrate pattern and often indicates raised intracranial pressure.
Posturing is further divided into
decorticate posturing (flexion of upper limbs, extension of legs) and decerebrate posturing (extension of upper and lower extremities).
Glasgow Coma Scale Best motor response 6 Obeys commands 5 Localises painful stimulus 4 Abnormal flexion 3
Decorticate posturing 2 Decerebrate posturing 1 No response Best verbal response 5 Orientated 4 Confused speech 3 Words 2 Incomprehensible sounds 1 No response Best eye opening response 4 Opens eyes spontaneously 3 Opens eyes to speech 2 Opens eyes to painful stimulus 1 No response Fundoscopy and pupillary response
Decorticate, decerebrate and opisthotonic posturing and seizures in Kenyan children with cerebral malaria.
Decorticate response and flexion are combined, as their differentiation is difficult.
The patient was immediately started on an esmolol drip and required intubation due to the development of a decreased level of conciousness and
decorticate posturing.
On day 7, full neurological examination disclosed no spontaneous respiration, no response to painful stimuli, no decerebrate nor
decorticate posturing; fixed, dilated pupils unresponsive to light, no response to ice water irrigation, no corneal or gag reflexes and no deep tendon reflexes.
Glasgow Coma Scale Eyes Open 4 Spontaneous 3 To verbal command 2 To pain 1 No response Motor Response 6 Obeys command 5 Localizes pain 4 Withdraws from pain 3
Decorticate posturing 2 Decerebrate posturing 1 No response Verbal Response 5 Oriented 4 Disoriented 3 Inappropriate words 2 Incomprehensible sounds 1 No response * Total score = Eye response + motor response + verbal response.
The substrates upon which each lichen was growing were also noted: terricolous (clay or soil), saxicolous (concrete, dolomite, or granite), corticolous (the bark of trees or shrubs), lignicolous (wood or
decorticate logs) or other (rusted metal, animal bones, fungi, mosses, etc.).
Viala and Freton (1983) and Viala (1986) observed that direct central (subcortical and spinal areas) interactions do exist between the respiratory and the locomotor rhythms in
decorticate rabbits.
He had this extraordinary gift of being able to
decorticate a work of art through lantern slides at the time, with a great many details.
It combines
decorticate and withdrawal responses, a difference Dr.
