"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.