Q:

All the following are signs of increased intracranial pressure (ICP) and impending brain herniation EXCEPT

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All the following are signs of increased intracranial pressure (ICP) and impending brain herniation EXCEPT


  1. pupillary dilation
  2. 4th cranial nerve palsy
  3. systemic hypertension
  4. bradycardia
  5. extensor posturing

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(B). The development of increased ICP with impending herniation may be heralded by new onset or worsening headache, depressed level of consciousness, vital sign changes (hypertension, bradycardia, irregular respirations), and signs of 6th (lateral rectus palsy) or 3rd (anisocoria [dilated pupil], ptosis, down-and-out position of globe as a result of rectus muscle palsies) cranial nerve compression

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