- 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