Abnormal posturing

Most conditions associated with abnormal posturing require hospital treatment.

Abnormal posturing often accompanies reduced consciousness. Anyone exhibiting these behaviors should be examined promptly by the health care provider.

In some conditions such as prolonged coma, these behaviors can persist for an extended period of time.

Emergency measures may be started immediately, including placement of an artificial airway (breathing tube) and assistance with breathing. The person will likely be hospitalized in intensive care.

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

Medical history questions documenting abnormal posturing in detail 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 preceded or accompanied the abnormal posturing?
• Is there any significant medical history (such as a known head injury)?

The physical examination will include a complete neurological assessment.

Diagnostic testing may include:

• Head x-ray
• Head CT scan
• Cerebral angiography
• EEG
• Brain scan
• ICP monitoring (monitoring of the pressure inside the brain)

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