The Final Destruction of Beth Shemesh and the Pax Assyriaca by Alexander Fantalkin

By Alexander Fantalkin

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Decerebrate posture is well known. During decerebrate posture, the limbs of the body present in total extension. Decorticate posture is much less well known. 1). 1 A. The ) FLX D E * F extensor (EXT) pattern of the upper extremity in neck extension. B. Flexion (FLX) of the upper extremity on neck flexion. ) (Reprinted with permission from Cailliet R. The Shoulder in Hemiplegia. A. ) DECORTICATE PRESENTATION 39 The clinical presentation of these patients can become complex. With shock of the cerebral cortex, other brain stem reflexes and those involving the basal ganglion level become clinically hyperreflexic.

DECORTICATE PRESENTATION 39 The clinical presentation of these patients can become complex. With shock of the cerebral cortex, other brain stem reflexes and those involving the basal ganglion level become clinically hyperreflexic. Many times, these patients present in symmetric tonic neck reflex posture. When this postural reflex occurs, the neck is flexed forward, the arms flexed, and the legs extended. One complication of the symmetric tonic neck reflex posture is that the patient has severe difficulty maintaining seating in a wheelchair.

A. Davis, 1980. 24. Posner JB. The comatose patient. JAMA 1975;232:1313–1314. 25. Tatemichi TK. How acute brain failure becomes chronic. Neurology 1990; 40:1652–1659. 5 Deficits of the Posterior Circulation of the Central Nervous System Paul E. 1 Diffuse axonal degeneration can also be noted in other central nervous system (CNS) injuries. 2,3 Although this condition has been noted in traumatic brain injuries acquired in high-speed motor vehicle accidents when the patients have lost consciousness,4,5 in those patients with spinal cord injuries, no cervical displacement has been demonstrated.

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The Final Destruction of Beth Shemesh and the Pax Assyriaca by Alexander Fantalkin
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