30th December 2024

Investigations in malignant raised ICP

Symptoms of malignant raised ICP

MRI with contrast is the most sensitive investigation for intracranial malignancy as, compared to CT, it demonstrates better anatomical detail, may better delineate meningeal spread and is more likely to reveal multiple lesions.

However, if there will be a delay to MRI imaging, or MRI is contraindicated, initial investigation with a contrast CT head is reasonable and in the majority of cases will demonstrate an enhancing lesion.