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


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