TY - JOUR T1 - Critical intracranial hypertension with Glasgow Coma Scale of 15 JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 207 LP - 208 DO - 10.1136/archdischild-2014-306851 VL - 100 IS - 2 AU - Andrew James Baldock AU - Tom Bennett Y1 - 2015/02/01 UR - http://adc.bmj.com/content/100/2/207.abstract N2 - We are concerned there may be a widely held misconception that critically rising intracranial pressure (ICP) is always accompanied by a progressive deterioration in Glasgow Coma Scale (GCS).1 We present two cases when the GCS remained 15, despite critically high ICP.A 15-year-old girl presented with a 2 month history of headaches and episodic vomiting. Her initial heart rate in the ward was 46 bpm and her blood pressure was 106/71. Her GCS was 15. Examination was unremarkable. Her heart rate fluctuated between 50 and 65. Approximately 7 h after admission, her headache became unbearable and she developed severe neck pain. Her blood pressure … ER -