All are signs of hydrocephalus in a neonate except-: (A) Enlarged head, (B) Sunset sign, (C) Crack post sign, (D) All
Answer is C. Ans. is 'c' i.e., Crack pot sign "Cracked pot or macewan sign indicates raised intracranial pressure after sutures and fontanels have closed" o Fontanelle is wide and bulging (not depressed) Signs of Increased intracranial tension in infants Separation of cranial sutures --> Earliest sign Wide bulging anterior fontanelle o Increased head circumference o Papilledema does not occur in infants because separation of sutures and open fontanelle compensate for increase in the intracranial pressure. However, if ICT rises very rapidly papilledema may occur. o Macewan or cracked pot sign occurs after sutures and fontanelle have closed (not in neonate) o Projectile vomiting o Headache Paicularly in early morning o Diplopia & sixth nerve palsy o Sun set sign ---> Eyes dete downward because of impingement of the dilated suprapineal recess.