Increased head circumference
Fontanelle changes: tense and bulging, closing late
Vomiting: possible projectile
Eye changes: diplopia, dialated pupil, papilledema
Vital Sign changes
- Elevated temperature and BP (due to compression of cranial vessels)
- Decreased pulse and RR (due to growing pressure on the brainstem)
- Headache
- Increasing with straining at stool (Valsalva maneuver) or holding breath
