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headaches, which are usually worse upon awakening and exacerbated by coughing, holding the breath, or other maneuvers that tend to increase intracranial pressure, nausea and vomiting, changes in vision

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What are late signs of increased intracranial pressure?

A widened pulse pressure


What is the earliest sign of increased intracranial pressure?

The earliest sign of increased intracranial pressure is often a headache that is worse in the morning, and improves throughout the day when in an upright position. Other early signs can include nausea and vomiting, changes in vision, and altered mental status.


Why is morphine not given in head injury cases?

Opioids increase intracranial pressure (BNF 62 :)


What are some signs of intracranial pressure on the right side of the brain?

Signs of increased intracranial pressure on the right side of the brain may include headaches that are worse in the morning, nausea or vomiting, changes in vision, weakness on the left side of the body, and altered mental status. It is important to seek medical attention promptly if experiencing these symptoms.


Increased intracranial pressure?

DefinitionIncreased intracranial pressure is a rise in the pressure inside the skull that can result from or cause brain injury.Alternative NamesICP; Intracranial pressure - increased; Intracranial hypertension; Acute increased intracranial pressure; Sudden increased intracranial pressureCauses, incidence, and risk factorsIncreased intracranial pressure can be due to a rise in cerebrospinal fluid pressure. It can also be due to increased pressure within the brain matter caused by a mass (such as a tumor), bleeding into the brain or fluid around the brain, or swelling within the brain matter itself.An increase in intracranial pressure is a serious medical problem. The pressure itself can damage the brain or spinal cord by pressing on important brain structures and by restricting blood flow into the brain.Many conditions can increase intracranial pressure. Common causes include:Aneurysmrupture and subarachnoid hemorrhageBrain tumorEncephalitisHydrocephalus(increased fluid around the brain)Hypertensive brain hemorrhageIntraventricular hemorrhageMeningitisSevere head injurySubdural hematomaStatus epilepticusStrokeSymptomsInfants:DrowsinessSeparated suturesBulging of the soft spot on top of the head (bulging fontanelle)VomitingOlder children and adults:Behavior changesDecreased consciousnessHeadacheLethargyNeurological problemsSeizuresVomitingSigns and testsA health care provider will usually make this diagnosis at the patient's bedside in an emergency room or hospital. Primary care doctors may sometimes spot early symptoms of increased intracranial pressure such as headache, seizures, or neurological problems.An MRI or CT scan of the head can often determine the cause and confirm the diagnosis.Intracranial pressure may be measured during a spinal tap (lumbar puncture). It can also be measured directly by using a device that is drilled through the skull or a tube (catheter) that is inserted inside the brain.TreatmentSudden increased intracranial pressure is an emergency. The person will be treated in the intensive care unit of the hospital. The health care team will measure and monitor the patient's neurological and vital signs, including temperature, pulse, breathing rate, and blood pressure.Treatment may include:Breathing supportDraining of cerebrospinal fluid to lower pressure in the brainMedications to decrease swellingRarely, removal of part of the skullIf a tumor, hemorrhage, or other underlying problem has caused the increase in intracranial pressure, the cause should be treated as appropriate.For information regarding treatment for certain causes of increased intracranial pressure, see:HydrocephalusNormal pressure hydrocephalusExpectations (prognosis)Sudden increased intracranial pressure is a serious and often deadly condition. If the underlying cause of the raised intracranial pressure can be treated, then the outlook is generally better.If the increased pressure pushes on important brain structures and blood vessels, it can lead to serious, permanent problems or even death.ComplicationsDeathPermanent neurological problemsReversible neurological problemsSeizuresStrokeCalling your health care providerA health care provider will usually make this diagnosis in an emergency room or hospital.PreventionThis condition usually cannot be prevented. If you have a persistent headache, blurred vision, changes in your level of alertness, neurological problems, or seizures, seek medical attention as soon as possible.ReferencesLing GSF. Traumatic brain injury and spinal cord injury. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 422.


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