All are signs of hydrocephalus in a neonate except-
Ans. is 'c' i.e., Crack pot sign "Cracked pot or macewan sign indicates raised intracranial pressure after sutures and fontanels have closed" o Fontanelle is wide and bulging (not depressed) Signs of Increased intracranial tension in infants Separation of cranial sutures --> Earliest sign Wide bulging anterior fontanelle o Increased head circumference o Papilledema does not occur in infants because separation of sutures and open fontanelle compensate for increase in the intracranial pressure. However, if ICT rises very rapidly papilledema may occur. o Macewan or cracked pot sign occurs after sutures and fontanelle have closed (not in neonate) o Projectile vomiting o Headache Paicularly in early morning o Diplopia & sixth nerve palsy o Sun set sign ---> Eyes dete downward because of impingement of the dilated suprapineal recess.
Enlarged head
Sunset sign
Crack post sign
All