Q1. Which of the following is not seen in raise intracranial pressure ( ICP) ?
a) Headache worse on coughing
b) Headache worse on bending forward
c) Headache worse on standing
d) Blurred vision or double vision
Ans c
Low pressure headaches are encountered after excessive cerebrospinal fluid (CSF) drainage, are typically worse on standing.
Raised ICP has high pressure headache which is worse on coughing or bending forward
Other features are nausea and vomiting, blurred vision and double vision; cranial nerve compression
and pupil abnormalities.
Late feature is papilloedema
Bailey 21 page 652
Q2 Sunsetting in raised intracranial pressure ( ICP) in children is
a) Seen on X ray
b) Seen on CT scan
c) Its a clinical sign
d) Seen on MRI
Ans c
In children Parinaud’s syndrome results from dorsal midbrain compression, with a loss of upgaze known as sunsettin.
Other features of raised ICP are tense fontanalle, increased head circumference and visible scalp veins
Bailey page 652