Early vs Late Signs of Increased ICP
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late
decortication, decerebration, or flaccidity
early
headache: constant, increasing intensity, or aggravated by movement or straining
late
hemiplegia: paralysis of one side of the body including arm and leg
early
impaired ocular movement/pupillary changes
early
increased respiratory efforts
late
increased temperature
late
loss of brainstem reflexes: pupil, gag, corneal, and swallowing
late
projectile vomiting
early
purposeless movements
late
respiratory pattern alterations: cheyne-stokes, biots, and/or apneustic
early
restless, confusion
late
stupor to coma
early
weakness in one extremitiy or one side
early
change in LOC
late
cushing's triad: bradypnea, hypertension, bradycardia