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.">