Jabre A, Sawaya R, Arthur S
Surg Neurol. 1985 Jan;23(1):56-8. doi: 10.1016/0090-3019(85)90160-0.
Decerebrate and/or decorticate posturing have not yet been described as possible features of the syndrome of inappropriate secretion of antidiuretic hormone. Cerebral edema and loss of brain electrolytes are contributing factors resulting in altered excitability of the neural membrane. We describe a patient who, on the eighth day after a head injury, presented with decerebrate posturing, which coincided with the development of the syndrome of inappropriate secretion of antidiuretic hormone, and which rapidly reversed with the correction of the hyponatremia. We believe that the syndrome of inappropriate secretion of antidiuretic hormone should be included in the differential diagnosis of abnormal posturing in the head-injured patient.
去大脑强直和/或去皮质强直姿势尚未被描述为抗利尿激素分泌不当综合征的可能特征。脑水肿和脑电解质丢失是导致神经膜兴奋性改变的因素。我们描述了一名患者，在头部受伤后第8天出现去大脑强直姿势，这与抗利尿激素分泌不当综合征的发生同时出现，并且随着低钠血症的纠正而迅速逆转。我们认为抗利尿激素分泌不当综合征应纳入头部受伤患者异常姿势的鉴别诊断中。
