Decorticate Posturing Cardiac Arrest

Decorticate posturing a sign of severe damage to the brain is a specific type of involuntary abnormal posturing of a person.

Decorticate posturing cardiac arrest. Finally notice how after the third round of cpr defibrillation he begins to breathe spontaneously with obvious chest rise and this is clearly different from the prior agonal respirations. When the patient developed a characteristic decorticate posture mild hypothermia oesophageal temperature 33 34 degrees c was induced. Normally people displaying decerebrate or decorticate posturing are in a coma and have poor prognoses with risks for cardiac arrhythmia or arrest and respiratory failure.

Weaning from the ventilator was successful on the 18th day. Therapeutic hypothermia after resuscitated cardiac arrest the purpose of this protocol is to improve the neurologic outcomes of patients who have experienced cardiac. Neurological outcomes after cardiac arrest cardiac arrest may be thought of as causing both metabolic and structural damage to the central nervous system.

Sir charles sherrington was first to describe decerebrate posturing after transecting the brain stems of cats and monkeys causing them to exhibit the posturing. Flexion decorticate posturing extension decerebrate posturing no response 4 corneal reflex. On the 17th day of this treatment after rewarming 35 5 degrees c and discontinuation of the barbiturate the patient responded to command.

Decorticate posturing occurred in 80 decerebrate in 61 and opisthotonic posturing in 22 patients. Pubmedcentral nih gov on examination neurologic abnormalities resemble those of a diffuse symmetric encephalopathy similar to a metabolic encephalopathy. Patients with brief episodes of systemic circulatory arrest who suffer milder degrees of cerebral anoxia ischemia demonstrate the clinical features of a reversible metabolic encephalopathy.