Decorticate Posturing Glasgow Coma Scale

Diabetic ketoacidosis dka is a common medical emergency in children.

Decorticate posturing glasgow coma scale. Gcs is used in evaluation of patients especially in icus this scale consists of three tests which are described below. It was invented in 1974 by graham teasdale and bryan j. 3 decorticate posture an abnormal posture that can include rigidity clenched fists legs held straight out and arms bent inward toward the body with the wrists and fingers bend and held.

Jennett professors of neurosurgery at the university of glasgow. Modified glasgow coma scale for infants and children. Abnormal flexion response to pain 3 points abnormal flexion to a painful stimulus typically involves adduction of the arm internal rotation of the shoulder pronation of the forearm and wrist flexion known as decorticate posturing.

T easdale et al in their original paper on the glasgow coma scale. 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 backward decorticate posturing abnormal posturing in which a person is stiff with bent arms clenched fists and legs held out straight. A person displaying decorticate posturing in response to pain gets a score of three in the motor section of the glasgow coma scale due to the flexion of muscles due to the neuro muscular response to the trauma.

There are two parts to decorticate posturing. 1 we present a case of a newly diagnosed type 1 diabetes mellitus who presented in dka and with glasgow coma scale gcs of seven. Glasgow coma scale or gcs is a scale that is used to measure the consciousness of a person.

She developed decorticate posturing soon after she was commenced on resuscitation fluids. Glasgow coma scale eye opening response. Stimuli the glasgow coma scale was designed and should be used to assess the depth and duration of coma and impaired consciousness.

Flexion in response to pain decorticate posturing 3 points extension response in response to pain decerebrate posturing 2 points no response 1 point references teasdale g jennett b. Withdrawal to pain scores 4 points on the glasgow coma scale. Unlike decorticate posturing decerebrate adjusted or 1 9 95 ci 1 0 3 5 and opisthotonic posturing adjusted or 2 9 95.