The following are recognized signs and symptoms of raised intracranial tension in a 9-month-old infant, EXCEPT:: (A) Bulging fontanel, (B) Setting-sun sign, (C) Papilledema, (D) Increase in head size
Answer is C. - Papilledema is usually not seen in infancy & neonates, as the fontanelle are open. - Signs & symptoms of raised ICP: Headache, vomiting, visual disturbances, progressing to neurological deficits & coma Chronically raised ICP before closure of sutures results in increased head size & hydrocephalus presenting as Bilateral sunsetting Tense bulging anterior fontanelle Hypeension & bradycardia 6th cranial nerve palsy - false localizing sign