<prompt> Earliest sign of increased ICT is?Erosion of dorsum sellaPineal displacementWidening of sellaCopper beaten appearance  <response>: Erosion of dorsum sella REF: Sutton 7th edition volume 2 page 1626 SIGNS OF RAISED INTRA CRANIAL TENSION: Suture diastasis: first and most impoant sign in children, Not seen in adults Sellar erosion: First sign in adults Pineal displacement: more in adults Coppersilver beaten appearance: Gyri make prominent markings on the skull Increased convolutional marking, Also seen in craniostosis, so not much diagnostic 