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Decorticate rigidity

MedGen UID:
66661
•Concept ID:
C0231521
•
Sign or Symptom
Synonyms: Decorticate Rigidities; Decorticate Rigidity; Rigidities, Decorticate; Rigidity, Decorticate
SNOMED CT: Decorticate rigidity (36423000)
 
HPO: HP:0011444

Definition

A type of rigidity in which the arms are in flexion and adduction and the legs are extended. This signifies a lesion in the cerebral white matter, internal capsules, or thalamus. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDecorticate rigidity

Professional guidelines

PubMed

Successful treatment of cerebral herniation in five patients.
Zervas NT, Hedley-Whyte J
N Engl J Med 1972 May 18;286(20):1075-7. doi: 10.1056/NEJM197205182862003. PMID: 5018865
Medical management of closed head injuries.
Alexander E Jr
Clin Neurosurg 1972;19:240-50. doi: 10.1093/neurosurgery/19.cn_suppl_1.240. PMID: 4637552
Treatment of carbon monoxide poisoning by mechanical ventilation: case report.
Townsend GL, Stetson JB
Can Anaesth Soc J 1968 Mar;15(2):184-96. doi: 10.1007/BF03005725. PMID: 5241832

Recent clinical studies

Etiology

Putamen hemorrhage occurred simultaneously with Stanford type A acute aortic dissection: a case report.
Sonoo T, Wada T, Inokuchi R, Nakamura K, Nakajima S, Yahagi N
Am J Emerg Med 2013 Jun;31(6):995.e3-4. Epub 2013 May 13 doi: 10.1016/j.ajem.2013.01.023. PMID: 23680327
Agonal sequences in 14 filmed hangings with comments on the role of the type of suspension, ischemic habituation, and ethanol intoxication on the timing of agonal responses.
Sauvageau A, Laharpe R, King D, Dowling G, Andrews S, Kelly S, Ambrosi C, Guay JP, Geberth VJ; Working Group on Human Asphyxia
Am J Forensic Med Pathol 2011 Jun;32(2):104-7. doi: 10.1097/PAF.0b013e3181efba3a. PMID: 20683242
Agonal sequences in eight filmed hangings: analysis of respiratory and movement responses to asphyxia by hanging.
Sauvageau A, LaHarpe R, Geberth VJ; Working Group on Human Asphyxia
J Forensic Sci 2010 Sep;55(5):1278-81. doi: 10.1111/j.1556-4029.2010.01434.x. PMID: 20487156
Cerebral malaria in Indian adults: a prospective study of 441 patients from Bikaner, north-west India.
Kochar DK, Shubhakaran, Kumawat BL, Kochar SK, Halwai M, Makkar RK, Joshi A, Thanvi I
J Assoc Physicians India 2002 Feb;50:234-41. PMID: 12038655

Diagnosis

Putamen hemorrhage occurred simultaneously with Stanford type A acute aortic dissection: a case report.
Sonoo T, Wada T, Inokuchi R, Nakamura K, Nakajima S, Yahagi N
Am J Emerg Med 2013 Jun;31(6):995.e3-4. Epub 2013 May 13 doi: 10.1016/j.ajem.2013.01.023. PMID: 23680327
Recurrent brain abscess induced by pulmonary arteriovenous fistula.
Kaido T, Moriyama Y, Ueda K, Higashiura W, Sakaguchi H, Kichikawa K
J Infect Chemother 2011 Aug;17(4):552-4. Epub 2011 Jan 22 doi: 10.1007/s10156-011-0210-9. PMID: 21258953
Steroid-responsive encephalitis lethargica syndrome with malignant catatonia.
Ono Y, Manabe Y, Hamakawa Y, Omori N, Abe K
Intern Med 2007;46(6):307-10. Epub 2007 Mar 15 doi: 10.2169/internalmedicine.46.6179. PMID: 17379999
Right thalamic hemorrhage resulting from high-voltage electrical injury: a case report.
Caksen H, Yuca SA, Demirtas I, Odabas D, Cesur Y, Demirok A
Brain Dev 2004 Mar;26(2):134-6. doi: 10.1016/S0387-7604(03)00099-8. PMID: 15036434
Cerebral malaria in Indian adults: a prospective study of 441 patients from Bikaner, north-west India.
Kochar DK, Shubhakaran, Kumawat BL, Kochar SK, Halwai M, Makkar RK, Joshi A, Thanvi I
J Assoc Physicians India 2002 Feb;50:234-41. PMID: 12038655

Therapy

Recurrent brain abscess induced by pulmonary arteriovenous fistula.
Kaido T, Moriyama Y, Ueda K, Higashiura W, Sakaguchi H, Kichikawa K
J Infect Chemother 2011 Aug;17(4):552-4. Epub 2011 Jan 22 doi: 10.1007/s10156-011-0210-9. PMID: 21258953
Steroid-responsive encephalitis lethargica syndrome with malignant catatonia.
Ono Y, Manabe Y, Hamakawa Y, Omori N, Abe K
Intern Med 2007;46(6):307-10. Epub 2007 Mar 15 doi: 10.2169/internalmedicine.46.6179. PMID: 17379999
Complete recovery of consciousness in a patient with decorticate rigidity following cardiac arrest after thoracic epidural injection.
Taga K, Tomita M, Watanabe I, Sato K, Awamori K, Fujihara H, Shimoji K
Br J Anaesth 2000 Oct;85(4):632-4. doi: 10.1093/bja/85.4.632. PMID: 11064628
Dramatic recovery from complete hemiplegia and decorticate rigidity caused by severe hypoglycemia.
Ogunyemi AO, Olowoyeye JO
Cent Afr J Med 1985 Mar;31(3):55-7. PMID: 4016907

Prognosis

Putamen hemorrhage occurred simultaneously with Stanford type A acute aortic dissection: a case report.
Sonoo T, Wada T, Inokuchi R, Nakamura K, Nakajima S, Yahagi N
Am J Emerg Med 2013 Jun;31(6):995.e3-4. Epub 2013 May 13 doi: 10.1016/j.ajem.2013.01.023. PMID: 23680327
Recurrent brain abscess induced by pulmonary arteriovenous fistula.
Kaido T, Moriyama Y, Ueda K, Higashiura W, Sakaguchi H, Kichikawa K
J Infect Chemother 2011 Aug;17(4):552-4. Epub 2011 Jan 22 doi: 10.1007/s10156-011-0210-9. PMID: 21258953
Severe carbon monoxide poisoning complicated by hypothermia: a case report.
Kamijo Y, Ide T, Ide A, Soma K
Am J Emerg Med 2011 Mar;29(3):357.e5-7. Epub 2010 Aug 2 doi: 10.1016/j.ajem.2010.04.011. PMID: 20674229
Steroid-responsive encephalitis lethargica syndrome with malignant catatonia.
Ono Y, Manabe Y, Hamakawa Y, Omori N, Abe K
Intern Med 2007;46(6):307-10. Epub 2007 Mar 15 doi: 10.2169/internalmedicine.46.6179. PMID: 17379999
Cerebral malaria in Indian adults: a prospective study of 441 patients from Bikaner, north-west India.
Kochar DK, Shubhakaran, Kumawat BL, Kochar SK, Halwai M, Makkar RK, Joshi A, Thanvi I
J Assoc Physicians India 2002 Feb;50:234-41. PMID: 12038655

Clinical prediction guides

Agonal sequences in 14 filmed hangings with comments on the role of the type of suspension, ischemic habituation, and ethanol intoxication on the timing of agonal responses.
Sauvageau A, Laharpe R, King D, Dowling G, Andrews S, Kelly S, Ambrosi C, Guay JP, Geberth VJ; Working Group on Human Asphyxia
Am J Forensic Med Pathol 2011 Jun;32(2):104-7. doi: 10.1097/PAF.0b013e3181efba3a. PMID: 20683242
Severe carbon monoxide poisoning complicated by hypothermia: a case report.
Kamijo Y, Ide T, Ide A, Soma K
Am J Emerg Med 2011 Mar;29(3):357.e5-7. Epub 2010 Aug 2 doi: 10.1016/j.ajem.2010.04.011. PMID: 20674229
Agonal sequences in eight filmed hangings: analysis of respiratory and movement responses to asphyxia by hanging.
Sauvageau A, LaHarpe R, Geberth VJ; Working Group on Human Asphyxia
J Forensic Sci 2010 Sep;55(5):1278-81. doi: 10.1111/j.1556-4029.2010.01434.x. PMID: 20487156
Cerebral malaria in Indian adults: a prospective study of 441 patients from Bikaner, north-west India.
Kochar DK, Shubhakaran, Kumawat BL, Kochar SK, Halwai M, Makkar RK, Joshi A, Thanvi I
J Assoc Physicians India 2002 Feb;50:234-41. PMID: 12038655

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