Which are signs of increased intracranial pressure select all that apply?

Increased intracranial (in-tra-CRANE-ee-al) pressure (ICP) means greater than normal pressure on the brain. It results from a greater volume of fluid or swelling of the brain.

Signs of Increased ICP

Watch for one or more of these signs in your child:

  • Change in your child's behavior such as extreme irritability (child is cranky, cannot be consoled or comforted)
  • Increased sleepiness (does not act as usual when you offer a favorite toy, or is difficult to wake up)
  • Shrill or high-pitched cry
  • Nausea (child feels like throwing up)
  • Vomiting (throwing up)
  • Complaint of a headache or stiff neck when waking up
  • Complaint of nausea or throwing up in the morning
  • Convulsions (seizures)
  • Weakness of one side of the body
  • Trouble walking or uncoordinated movement (staggering or swaying)
  • Eye changes (crossed eyes, droopy eyelids, blurred or double vision, trouble using eyes, unequal size of eye pupils, or continuous downward gaze)
  • Increased head size, if your child is younger than 18 months
  • Full or tight fontanel (soft spot), if your child is younger than 18 months
  • Loss of consciousness (does not awaken when you touch and talk to him)
  • Child just does not "look right" to you

When to Call Your Doctor

Call the doctor if you notice any signs of increased intracranial pressure or if you have any questions or concerns. Your child may not have all of the signs and symptoms.

When to Get Emergency Help

Call 911 if your child:

  • Loses consciousness
  • Has convulsions (seizures) lasting longer than 5 minutes.

Nutrition

You may give your child his normal foods unless your doctor tells you otherwise.

Follow-Up Appointment

If you have not been given an appointment, call the doctor's office. It is very important to keep all appointments.

 Factors that raise a patient’s risk for increased intracranial pressure include brain tumors, radiation to the skull, or cerebrospinal fluid circulation disorders. Read more about increased intracranial pressure and other oncologic emergencies.  

Increased intracranial pressure is a medical term that refers to growing pressure inside a person’s skull. This pressure can affect the brain if doctors do not treat it.

A sudden increase in the pressure inside a person’s skull is a medical emergency. Left untreated, an increase in the intracranial pressure (ICP) may lead to brain injury, seizure, coma, stroke, or death.

With prompt treatment, it is possible for people with increased ICP to make a full recovery.

In this article, we look at the symptoms, causes, and treatments of increased ICP.

Symptoms of increased ICP

The symptoms of increased ICP can vary depending on a person’s age.

Infants with increased ICP may have different symptoms to older children or adults with the condition, as discussed below.

Symptoms in adults

Which are signs of increased intracranial pressure select all that apply?
Share on PinterestSymptoms of increased ICP can include headache, sleepiness, and blurred vision.

Symptoms of increased ICP in adults include:

  • pupils that do not respond to light in the usual way
  • headache
  • behavior changes
  • reduced alertness
  • sleepiness
  • muscle weakness
  • speech or movement difficulties
  • vomiting
  • blurred vision
  • confusion

As raised ICP progresses, a person may lose consciousness and go into a coma. High ICP may cause brain damage if a person does not receive emergency treatment.

Symptoms in infants

Infants with increased ICP may show some of the same symptoms as adults. In addition, the shape of their heads may be affected.

Infants still have soft plates in their skull that fibrous tissue called skull sutures knit together. Increased ICP may cause the skull sutures to separate and the soft plates to move apart.

Increased ICP in infants may also cause their fontanel to bulge out. The fontanel is the soft spot on the top of the skull.

Causes

The following is a list of medical conditions and other causes that can lead to increased ICP:

  • brain injury, which is often the result of a blow to the head
  • hydrocephalus, or too much cerebrospinal fluid on the brain
  • brain swelling
  • bleeding or blood pooling in the brain
  • brain aneurysm
  • brain infection, such as meningitis or encephalitis
  • stroke
  • high blood pressure
  • brain tumor
  • drug interaction
  • seizure
  • epilepsy
  • hypoxemia, a blood oxygen deficiency

In infants, high ICP may be the result of child abuse.

If a person handles a baby or infant too roughly, it may cause them to develop a brain injury. This is known as shaken baby syndrome.

One source has estimated that between 1,000 and 3,000 children in the United States experience shaken baby syndrome each year. The condition may arise if an adult shakes a baby violently to stop them crying.

Anyone who suspects a child may be experiencing abuse can contact the National Child Abuse Hotline anonymously at 1-800-4-A-CHILD (1-800-422-4453).

Diagnosis

Share on PinterestA doctor may request a CT scan to diagnose increased ICP.

If a person has the symptoms of increased ICP, they should see a doctor straight away. This is a medical emergency and may lead to brain injury if a person does not receive rapid treatment.

A doctor will measure the ICP in millimeters of mercury (mm/Hg). The normal range isless than 20 mm/Hg. When ICP goes above this, a person may be experiencing increased ICP.

To diagnose increased ICP, a doctor may ask if a person has:

  • experienced a blow to a head
  • a previous diagnosis of a brain tumor

Then, the doctor may carry out the following tests:

  • neurological exam to test a person’s senses, balance, and mental state
  • spinal tap that measures cerebrospinal fluid pressure
  • CT scan that produces images of the head and brain

After these initial tests, the doctor may use an MRI scan to examine a person’s brain tissue in more detail.

Treatment

If a person has a diagnosis of increased ICP, a doctor will immediately work to reduce the pressure inside the skull to lessen the risk of brain damage. They will then work to treat the underlying cause of the increased pressure.

Treatment methods for reducing ICP include:

  • draining the excess cerebrospinal fluid with a shunt, to reduce pressure on the brain that hydrocephalus has caused
  • medication that reduces brain swelling, such as mannitol and hypertonic saline
  • surgery, less commonly, to remove a small section of the skull and relieve the pressure

A doctor may give the person a sedative to help reduce anxiety and lower their blood pressure. The person may also need breathing support. The doctor will monitor their vital signs throughout their treatment.

In rare cases, the doctor may put a person with high ICP into a medically induced coma to treat their condition.

Complications

Complications of increased ICP include:

  • brain damage
  • seizure
  • stroke
  • coma

Without proper treatment, increased ICP can be fatal.

Outlook

A sudden increase in ICP is a medical emergency and can be life-threatening. The sooner a person receives treatment, the better their outlook. Many people respond well to treatment, and a person who has experienced increased ICP can make a full recovery.

Preventing increased ICP and its complications

Increased ICP is not always preventable, but a person can reduce their risk of some causes through lifestyle changes.

Which of the following are late signs and symptoms of increased ICP?

The Answer Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration.

What are the four stages of increased intracranial pressure?

Intracranial hypertension is classified in four forms based on the etiopathogenesis: parenchymatous intracranial hypertension with an intrinsic cerebral cause, vascular intracranial hypertension, which has its etiology in disorders of the cerebral blood circulation, meningeal intracranial hypertension and idiopathic ...

What are the 3 components that impact intracranial pressure?

The pressure in the cranial vault is measured in millimeters of mercury (mm Hg) and is normally less than 20 mm Hg. The cranium is a rigid structure that contains 3 main components: brain, cerebrospinal fluid, and blood. Any increase in the volume of its contents will increase the pressure within the cranial vault.

What happens during increased intracranial pressure?

Increased ICP is when the pressure inside a person's skull increases. When this happens suddenly, it is a medical emergency. The most common cause of high ICP is a blow to the head. The main symptoms are headache, confusion, decreased alertness, and nausea.