All are signs of hydrocephalus in a neonate except –a) Enlarged headb) Sunset signc) Crack post signd) Depressed fontanelle
Correct Answer: cd
Description: "Cracked pot or inacewan sign indicates raised intracranial pressure after sutures and fontanels have closed"
Fontanelle is wide and bulging (not depressed)
Signs of Increased intracranial tension in infants
Separation of cranial sutures —> Earliest sign
Wide bulging anterior fontanelle
Increased head circumference
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.
Macewan or cracked pot sign occurs after sutures and fontanelle have closed (not in neonate)
Projectile vomiting
Headache -3 Particularly in early morning
Diplopia & sixth nerve palsy
Sun set sign --> Eyes deviate downward because of impingement of the dilated suprapineal recess.
Category:
Pediatrics
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