Decerebrate rigidity: Difference between revisions

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In neurological [[physical examination]], '''decerebrate rigidity''' is a "condition characterized by abnormal posturing of the limbs that is associated with injury to the brainstem. This may occur as a clinical manifestation or induced experimentally in animals. The extensor reflexes are exaggerated leading to rigid extension of the limbs accompanied by hyperreflexia and opisthotonus. This condition is usually caused by lesions which occur in the region of the [[brainstem]] that lies between the [[red nucleus|red nuclei]] and the [[vestibular nucleus|vestibular nuclei]]."<ref>{{MeSH}}</ref><ref name="isbn0-07-067439-6-p358">{{cite book |author=Ropper, Allan H.; Adams, Raymond Delacy; Victor, Maurice |authorlink= |editor= |others= |title=Principles of Neurology |edition=6th |language=English |publisher=McGraw-Hill, Health Professions Division |location=New York |year=1997 |origyear= |pages=358 |quote= |isbn=0-07-067439-6 |oclc= |doi= |url= |accessdate=}}</ref>
In neurological [[physical examination]], '''decerebrate rigidity''' is a "condition characterized by abnormal posturing of the limbs that is associated with injury to the brainstem. This may occur as a clinical manifestation or induced experimentally in animals. The extensor reflexes are exaggerated leading to rigid extension of the limbs accompanied by hyperreflexia and opisthotonus. This condition is usually caused by lesions which occur in the region of the [[brainstem]] that lies between the [[red nucleus|red nuclei]] and the [[vestibular nucleus|vestibular nuclei]]."<ref>{{MeSH}}</ref><ref name="isbn0-07-067439-6-p358">{{cite book |author=Ropper, Allan H.; Adams, Raymond Delacy; Victor, Maurice |authorlink= |editor= |others= |title=Principles of Neurology |edition=6th |language=English |publisher=McGraw-Hill, Health Professions Division |location=New York |year=1997 |origyear= |pages=358 |quote= |isbn=0-07-067439-6 |oclc= |doi= |url= |accessdate=}}</ref>


Decerebrate rigidity reduced the motor score  of the [[Glasgow Coma Scale]] to 3 points.  
{{Image|Grays-image710.gif|right|350px|Section through the midbrain showing the red nucleus (#7).}}


[[Decorticate rigidity]] is similar except the upper extremities are flexed and the lesion is below the [[red nucleus]].
Decerebrate rigidity reduced the motor score of the [[Glasgow Coma Scale]] to 2 points.  


[[Decorticate rigidity]] is similar except the upper extremities are flexed, the lesion is above the [[red nucleus]], and the motor score of the [[Glasgow Coma Scale]] is reduced to 3 points.
==References==
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In neurological physical examination, decerebrate rigidity is a "condition characterized by abnormal posturing of the limbs that is associated with injury to the brainstem. This may occur as a clinical manifestation or induced experimentally in animals. The extensor reflexes are exaggerated leading to rigid extension of the limbs accompanied by hyperreflexia and opisthotonus. This condition is usually caused by lesions which occur in the region of the brainstem that lies between the red nuclei and the vestibular nuclei."[1][2]

Section through the midbrain showing the red nucleus (#7).

Decerebrate rigidity reduced the motor score of the Glasgow Coma Scale to 2 points.

Decorticate rigidity is similar except the upper extremities are flexed, the lesion is above the red nucleus, and the motor score of the Glasgow Coma Scale is reduced to 3 points.

References

  1. Anonymous (2024), Decerebrate rigidity (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Ropper, Allan H.; Adams, Raymond Delacy; Victor, Maurice (1997). Principles of Neurology (in English), 6th. New York: McGraw-Hill, Health Professions Division, 358. ISBN 0-07-067439-6.