Clinical features of raised ICP (Intra cranial pressure)

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 Signs and symptoms:

  • Headache 
  • Vomiting 
  • Papilloedema
  • Unilateral or bilateral pupillary dilatation 
  • Cranial nerve II or VI palsy 
  • Drowsiness or loss of consciousness
  • Absent brain stem reflex
    • Pupillary light reflex
    • Corneal reflex
    • Gag reflex
    • Cough reflex
    • Oculocephalic reflex
    • Oculovestibular reflex 

  • Abnormal respiration 
  • Arterial hypertension 
  • Bradycardia 

Radiological signs:

  • Mass
  • Hydrocephalus 
  • Cerebral edema 
  • Midline shift 
  • Obliteration of CSF cisterns
  • Effacement of ventricles and cortical sulci 

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