This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Radiology
Earliest sign of increased ICT is? 
Select and explain. 
A. Erosion of dorsum sella, B. Pineal displacement, C. Widening of sella, D. Copper beaten appearance
A: Erosion of dorsum sella
Answer: A: Erosion of dorsum sella 
Explanation: Erosion of dorsum sella REF: Sutton 7th edition volume 2 page 1626 SIGNS OF RAISED INTRA CRANIAL TENSION: Suture diastasis: first and most impoant sign in children, Not seen in adults Sellar erosion: First sign in adults Pineal displacement: more in adults Copper/silver beaten appearance: Gyri make prominent markings on the skull (Increased convolutional marking), Also seen in craniostosis, so not much diagnostic