Abnormal posturing

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Overview

Treatment

Abnormal posturing

Definition:

Abnormal posturing is the tendency to assume a particular body position, or to move or hold one or more parts of the body in a particular way. Certain abnormal posturing behaviors may indicate specific injuries to the nervous system.

Considerations:

Abnormal posturing is a sign of serious central nervous system damage.

Normally, when a muscle contracts, the muscles on the opposite side of the joint provide some resistance to contraction. Abnormal posturing occurs when damage to the central nervous system (brain or spinal cord) results in complete or partial lack of opposition to muscle contraction in various muscle groups.

See the following types of abnormal postures:

Decerebrate posture -- rigid extension of the arms and legs, downward pointing of the toes, and backward arching of the head
Decorticate posture -- rigidity, flexion of the arms, clenched fists, and extended legs
Opisthotonos -- rigidity and severe arching of the back, with the head thrown backwards

An affected person may alternate between different postures as the condition fluctuates.

Injury or inflammation of a portion of the brain, spinal cord, or nervous system is the most common cause of abnormal posturing. The particular type of posturing can reflect the type and area of nervous system involvement.

Common Causes:

Increased intracranial pressure
Injury to nerves
Reye's syndrome
Severe head injury
Uncal herniation, transtentorial herniation
Cerebral edema

Review Date: 2/15/2005
Reviewed By: Luc Jasmin, MD, PhD, Departments of Anatomy & Neurological Surgery, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network.

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