Neuro Surgery MCQs

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