Decorticate Posturing Hypoglycemia
An admission ct scan of th e head was considered norm al.
Decorticate posturing hypoglycemia. The literature on hypogly nduced neurologic deficits 1s reviewed and an explanation quick remiission of the decerebrate posturing is postu hypoglycemia may present with altered cortical or subcortical function. Decorticate posturing is described as abnormal flexion of the arms with the extension of the legs. Strated decorticate posturing an absent pupillary light reflex bilat erally and was unresponsive to painful stimuli.
The literature on hypoglycemia induced neurologic deficits is reviewed and an explanation for the quick remission of the decerebrate posturing is postulated. His initial laboratory studies in cluding electrolytes and a drug screen were oth erwise unremark able. A serum glucose drawn on arrival was 26 mg dl.
Reversible decerebrate posturing secondary to hypoglycemia. Two cases of decerebrate posturing that resolved following the fairmont west virginia administration of dextrose are reported. Two cases of decerebrate posturing that resolved following the administration of dextrose are reported.
In conclusion hepatic encephalopathy is a rare but reversible cause of decerebrate posturing. Specifically it involves slow flexion of the elbow wrist and fingers with a dduction and. Decorticate posturing is described as abnormal flexion of the arms with the extension of the legs.
Clinicians should be aware of this condition in patients presenting with he progressing to coma since it might save unnecessary workup. She had a quick recovery with appropriate management for hepatic encephalopathy.