<prompt> Which of the following is the sign of increased intracranial tension in skull x-ray in an infant?Separation of the suturesTense anterior fontanelleMacewens signAll of the above  <response>: In increased intracranial tension ICT, there is separation of the cranial sutures, wide fontanels and increased head circumference. The Macewens or crackpot sign indicates raised intracranial pressure after sutures and fontanel have closed. Papilledema is unusual in infant unless the increase in intracranial pressure is very rapid. Ref: Ghai Essential Pediatrics, 6th edition, Page 525. 