1. |
Scarcella, 1962 1414 Scarcella G, Fields WS. Recovery from coma and decerebrate rigidity of young patients following head injury. Acta Neurochir (Wien) 1962;10(02):134–144
|
USA |
6 |
Case1= M Case2= M Case3= M Case4= F Case5= F Case6= M |
CS |
Case1= 5 Case2= 20 Case3= 5 Case4= 3 Case5= 18 Case6= 17 |
Decerebrate Rigidity in head injury |
No deaths |
NA |
NA |
2. |
Celesia, 1963 1515 Celesia GG, Andermann F. Some observations on the electro-graphic correlates of the decerebrate attack. Electroencephalogr Clin Neurophysiol 1964;16(03):295–300
|
Canada |
1 |
Female |
CR |
10 |
Decerebrate attack in anoxic brain injury |
No deaths |
NA |
NA |
3. |
Chatrian 1963 1616 Chatrian GE, White LE Jr, Shaw CM. EEG pattern resembling wakefulness in unresponsive decerebrate state following traumatic brain-stem infarct. Electroencephalogr Clin Neurophysiol 1964;16(03):285–289
|
USA |
1 |
Male |
CR |
59 |
Unresponsive decerebrate state in traumatic brain-stem infarct |
Expired in respiratory and cardiac collapse after 14 days after the injury. |
NA |
NA |
4. |
Brendler, 1970 1717 Brendler SJ, Selverstone B. Recovery from decerebration. Brain 1970;93(02):381–392
|
USA |
16 |
M = 5, F = 4 |
Retrospective Study |
Range = 14-67 |
Decerebrate rigidity in midbrain syndrome |
Number of patients died: compressive lesions = 4, non-compressive lesions = 0 |
NA |
NA |
5. |
Paul 1970 1818 Gutterman P, Shenkin HA. Prognostic features in recovery from traumatic decerebration. J Neurosurg 1970;32(03):330–335
|
USA |
52 |
M = 42 F = 10 |
Cross-sectional study |
Mean = 30 range = 3-84 |
Decerebrate rigidity secondary to cranial trauma |
Effect of surgical evacuation of intracranial hematoma on recovery from decerebration died: EDH = 3 (16-52 years age), SDH = 9(15-84 years age), ICH = 3(51-65 years age) |
NA |
NA |
6. |
North-Coombes 1972 1919 North-Coombes N, Seedat YK, McKechnie JK. Decerebrate rigidity due to subdural haematoma. S Afr Med J 1972;46(40):1482–1483
|
South Africa |
2 |
Case1: M Case2: M |
CR |
Case1: 50 Case2: 48 |
Decerebrate rigidity in subdural haematoma. |
Case1: patient died |
NA |
NA |
7. |
Bricolo, 1977 2020 Bricolo A, Turazzi S, Alexandre A, Rizzuto N. Decerebrate rigidity in acute head injury. J Neurosurg 1977;47(05):680–689
|
Italy |
800 |
NA |
Compre- hensive Study |
DP = 3 months to 86 years Non-DP-36 |
Decerebrate rigidity in acute head injury caused by traffic accidents |
Motor signs outcome: decerebrate rigidity = (case No. 317; deaths No. 228 Full = (case No. 109; deaths No. 92 |
NA |
NA |
8. |
Dong Hyun, 1977 2121 Dong H, Suk HH. Clinical Evaluation of Traumatic Decerebration. J Korean Neurosurg Soc 1977;6(01):47–54
|
South Korea |
42 |
M = 33 F = 9 |
Cross-sectional study |
10-70 years old |
Decerebrate rigidity in head injury |
Decerebrate patients 65% with direct damage to the brain stem supratentorial hematoma 52% |
NA |
NA |
9. |
Davis, 1983 2222 Davis RA. Traumatic decerebrate rigidity and neurological recovery: a case report. Neurosurgery 1983;6(1):569–571
|
USA |
1 |
F |
CR |
28 |
Traumatic Decerebrate Rigidity in head injury |
No deaths |
NA |
GCS = 4 on initial examination |
10. |
Klug, 1984 2323 Klug N, Hoffmann O, Zierski J, Buss K, Laun A, Agnoli AL. Decerebrate rigidity and vegetative signs in the acute midbrain syndrome with special regard to motor activity and intracranial pressure. Acta Neurochir (Wien) 1984;72(3-4):219–233
|
Germany |
25 |
NA |
Cross-sectional study |
Mean(SD) = 35 range = 11-68 |
Severe head injury (15) and Acute vascular brain lesions (10) |
NA |
NA |
Frequency of DR Episodes in Relation GCS, Cisternal Obstruction |
11. |
Pattisapu 1985 2424 Pattisapu J, Smith RR, Bebin J. Traumatic decerebracy with preserved consciousness and voluntary movement. Neurosurgery 1985;16(01):71–74
|
USA |
1 |
M |
CR |
32 |
Unilateral brain stem lesion in a patient with traumatic decerebracy |
Patient died |
NA |
NA |
12. |
Jabre, 1985 2525 Jabre A, Sawaya R, Arthur S. Decerebrate posturing with the syndrome of inappropriate secretion of antidiuretic hormone. Surg Neurol 1985;23(01):56–58
|
USA |
1 |
Male |
CR |
20 |
Decerebrate posturing in head injury |
No deaths |
NA |
NA |
13. |
Mahapatra, 1985 2626 Mahapatra AK, Tandon PN, Bhatia R, Banerji AK. Bilateral decerebration in head-injury patients. An analysis of sixty-two cases. Surg Neurol 1985;23(05):536–540
|
India |
62 |
M = 52 F = 10 |
Retrospective study |
Mean(SD) = 28.5(2.3) range = 2-73 |
Head-injured patients with bilateral decerebration |
Neurological manifestation outcome: Pinpoint, non-reacting pupils= 2 died vestibuloocular reflex outcome: 8 patients with absent reflex died |
NA |
GCS = 4 on initial examination |
14. |
Briggs 1986 2727 Briggs TB, Smith RR. Exertional rhabdomyolysis associated with decerebrate posturing. Neurosurgery 1986;19(02):297–299
|
USA |
1 |
M |
CR |
42 |
Decerebrate posturing after a head injury led to rhabdomyolysis and renal failure. |
Patient died |
NA |
NA |
15. |
Damasceno, 1991 2828 Damasceno BP. Decerebrate rigidity with preserved cognition and gait: a possible role of anoxic-ischemic brain damage. Int J Neurosci 1991;58(3-4):283–287
|
Brazil |
1 |
Female |
CR |
27 |
Decerebrate rigidity with in anoxic-ischemic brain damage |
No deaths |
NA |
NA |
16. |
Pranzatelli, 1991 2929 Pranzatelli MR, Pavlakis SG, Gould RJ, De Vivo DC. Hypothalamicmidbrain dysregulation syndrome: hypertension, hyperthermia, hyperventilation, and decerebration. J Child Neurol 1991;6(02):115–122
|
USA |
3 |
Case1: M Case2: M Case3: M |
CS |
Case1: 13 Case2: 7 Case3: 19 |
Decerebration with opisthotonus |
No deaths |
NA |
NA |
17. |
Kiboi, 2009 3030 Kiboi JG, Muriithi IM. Vertex epidural haematoma manifesting with bilateral upper limb decerebrate posture: case report. East Afr Med J 2009;86(06):300–304
|
Kenya |
1 |
M |
CR |
46 |
Vertex epidural haematoma |
No deaths |
NA |
On admission, the patient was unconscious with a Glasgow coma scale of 7/15 (motor 4, eye 2, verbal 1). |
18. |
Jung, 2013 3131 Jung W, Kwon S, Park S, et al. Electroacupuncture for decorticate rigidity of the upper limbs in a patient with anoxic brain damage. Case Rep Med 2013;2013:524603
|
South Korea |
1 |
M |
CR |
51 |
Decerebrate Rigidity in anoxic brain damage |
No deaths |
NA |
At admission, he revealed GCS score 7 (E4 V0 M3) |
19. |
Woischneck,2014 3232 Bindal A, Chandra N, Ojha BK, Chandra A, Singh SK, Srivastava C. Outcome of surgery for operable supratentorial mass lesions in patients presenting with decerebration following severe head injury: A retrospective analysis of factors affecting outcome. Asian J Neurosurg 2015;10(03):145–148
|
Germany |
120 |
M = 82 F = 38 |
Prospective study |
Median = 36, range = 2-86 |
Decerebrate posturing following traumatic brain injury |
Decerebrate rigidity, no midbrain lesion = 19%; (b) without decerebrate rigidity, with midbrain lesion = 41%; (c) with decerebrate rigidity and with midbrain lesion = 33%; (d) with decerebrate rigidity, no midbrain lesion = 21% |
Patients with a decerebrate response revealed significantly lower GOS scores than those without (p= 0.01). Detection of a brainstem lesion on MRI was correlated to the GOS (p < 0.0001). The correlation of midbrain lesions with the GOS was also significant (p < 0.0001). |
NA |
20. |
Amit, 2015 3333 Sterne JA, Hernán MA, Reeves BC, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ 2016;355:i4919
|
India |
72 |
M =57 F = 15 |
Retrospective study |
>60 years old |
Operated patients with decerebrate rigidity secondary cranial trauma |
60 (83%) is the total mortality rate in the series. |
Favorable outcome (GOS 4 and 5) in 14% (n = 10) of the patients |
GCS 4 (M2) at the time of operation |