Signs and Symptoms Increased ICP (in children) (图)

Increased head circumference
Fontanelle changes: tense and bulging, closing late
Vomiting: possible projectile
Eye changes: diplopia, dialated pupil, papilledema
Vital Sign changes

• Elevated temperature and BP (due to compression of cranial vessels)
  
• Decreased pulse and RR (due to growing pressure on the brainstem)
  

Pain

• Headache
• Increasing with straining at stool (Valsalva maneuver) or holding breath

Mentation: irritabililty, sleepiness