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Abnormal posturing - Treatment

Alternative Names

Pathologic posturing; Evaluating a person in a coma

Call your health care provider if:

People with abnormal posturing almost always have reduced consciousness. Anyone who shows symptoms of abnormal posturing should be examined right away by a health care provider.

In some conditions, such as a coma, these behaviors can continue for a long time.

What to expect at your health care provider's office:

All abnormal posturing should be treated in a hospital. This kind of movement is most often seen in patients who are in a coma. More subtle posturing that is caused by a doctor at a medical visit may not be as serious.

At the hospital, emergency treatment for abnormal posturing must be started right away. This includes placing a breathing tube and providing breathing assistance. The person will likely be placed in the hospital intensive care unit.

The medical history will be obtained from family members. A physical examination will be performed.

Medical history questions may include:

  • When did this behavior start?
  • Is there a pattern to the occurrences?
  • Is it always the same type of posture?
  • What other symptoms came before or occurred during the abnormal posturing?
  • Is there any history or injury (such as a known head injury)?

The physical examination will include a complete brain and nervous system evaluation.

Tests may include:

  • Reviewed last on: 2/5/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Joseph V. Campellone, MD, Division of Neurology, Cooper University Hospital, Camden, NJ. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Berger JR. Stupor and coma. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Bradley: Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann Elsevier; 2008:chap 5.

Bleck T. Levels of consciousness and attention. In: Goetz, CG, ed. Textbook of Clinical Neurology. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 1.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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