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22 Possible Causes for Bulging Fontanelle, Intracranial Hypertension, Projectile Vomiting

  • Head Injury

    Dangerous mechanism of injury (high-speed RTA, fall from 3 m, high-speed projectile) If only one of the aforementioned risk factors is present then observe for a minimum[patient.info] Cerebral artery vasospasm may ensue as an immediate hemodynamic complication of traumatic brain injury causing intracranial hypertension in almost half of patients.[symptoma.com] Original Article Dec 17, 2015 Hypothermia for Intracranial Hypertension after Traumatic Brain Injury Andrews P.J.D., Sinclair H.L., Rodriguez A., et al.[nejm.org]

  • Brain Abscess

    fontanelle (the soft spot located on the top of a baby’s head).[upmc.com] Other symptoms in your child can include: projectile vomiting high-pitched crying spasticity in the limbs Many of these symptoms closely resemble other diseases or health[healthline.com] The patient developed a brain abscess and a subdural collection with severe intracranial hypertension of fatal evolution.[repositorio.uchile.cl]

  • Obstructive Hydrocephalus

    In infants and neonates, a disproportionate head growth, bulging fontanelles, markedly wider separation of the cranial sutures, and paresis of upward gaze (the "setting sun[symptoma.com] The patient received a temporary external ventricular drainage to relieve the symptoms of intracranial hypertension.[ncbi.nlm.nih.gov] The patient presented to the emergency department at the authors' institution with a 1-day history of projectile vomiting, lethargy, and dysconjugate gaze.[ncbi.nlm.nih.gov]

  • Dandy-Walker Syndrome

    Separated sutures may be associated with bulging fontanelles. If intracranial pressure is increased a lot, there may be large veins over the scalp.[mountsinai.org] Clinical features include occipital bossing, progressive head enlargement, bulging of anterior fontanelle, papilledema, ataxia, gait disturbances, nystagmus, and intellectual[hon.ch] fontanelles, or very obvious scalp veins Redness, swelling, or discharge from the area of the sutures What to Expect at Your Office Visit The provider will perform a physical[mountsinai.org]

  • Meningitis

    Know the Symptoms Arching of the back (infants) Behavioural changes Blank, staring expression Bulging fontanelle (infants) Cold hands and feet Diarrhoea Dislike of being handled[meningitis.com.au] Cerebrospinal fluid analysis revealed a high opening pressure but no biochemical parameters to suggest TBM, hence she was treated as idiopathic intracranial hypertension.[ncbi.nlm.nih.gov] We present a case of a 23-year-old woman with a 2-week history nocturnal fever, vertigo, headache and projectile vomiting.[ncbi.nlm.nih.gov]

  • Meningococcal Meningitis

    fontanelles in infants Decreased consciousness Poor feeding or irritability in children Rapid breathing Unusual posture with the head and neck arched backwards ( opisthotonus[ufhealth.org] Projectile vomiting is often observed. About 40% of them develop focal onset seizures during the initial stages.[symptoma.com] […] purpura ) Rash, pinpoint red spots ( petechiae ) Sensitivity to light ( photophobia ) Severe headache Stiff neck Other symptoms that can occur with this disease: Agitation Bulging[medlineplus.gov]

  • Idiopathic Intracranial Hypertension

    Signs of this condition include: Bulging anterior fontanelle in infants Increased head size Swelling of the optic nerve in the back of the eye (papilledema) Inward turning[nlm.nih.gov] The pseudotumor cerebri syndrome: Pseudotumor cerebri, idiopathic intracranial hypertension, benign intracranial hypertension and related conditions, Cambridge : Cambridge[doi.org] The headaches involve vomiting, which is often projectile.[practicalneurology.com]

  • Hydrocephalus

    Manifestations can include enlarged head, bulging fontanelle, irritability, lethargy, vomiting, and seizures.[msdmanuals.com] Infants commonly present with progressive macrocephaly whereas children older than 2 years generally present with signs and symptoms of intracranial hypertension.[ncbi.nlm.nih.gov] vomiting Seizures Sleepiness or lack of alertness Very noticeable scalp veins In older children, headaches and visual changes may be seen.[chp.edu]

  • Vomiting

    A bulging fontanelle. Shortness of breath. A swollen abdomen. Blood or bile (a green substance) in the vomit ( see below ).[babycentre.co.uk] hypertension and hydrocephalusMetabolic disturbances (these may irritate both the stomach and the parts of the brain that coordinate vomiting): Hypercalcemia (high calcium[en.wikipedia.org] Called also emesis and regurgitation. cyclic vomiting recurring attacks of vomiting. dry vomiting attempts at vomiting, with the ejection of nothing but gas. projectile vomiting[medical-dictionary.thefreedictionary.com]

  • Ventricular Hemorrhage

    -Dehydration and signs and symptoms of infection What to expect in a bulging fontanel of a baby with IVH -Some babies may or may not have bulging fontanel with a sever bleed[quizlet.com] The rest of 21% of cases had catastrophic clinical findings: bulging anterior fontanelle, dehiscent cranial sutures, projectile vomiting, fixation of pupils, nystagmus, seizures[medichub.ro] Therapy of malignant intracranial hypertension by controlled lumbar cerebrospinal fluid drainage. Crit Care Med 2001;29(5):976–981. PubMed CrossRef Google Scholar 12.[link.springer.com]

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