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Pediatric emergency care · Feb 2010
Case ReportsOrbital trauma, bradycardia, and vomiting: trapdoor fracture and the oculocardiac reflex: a case report.
- Benjamin F Jackson.
- Division of Emergency Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA. jacksobf@musc.edu
- Pediatr Emerg Care. 2010 Feb 1;26(2):143-5.
AbstractThe presentation of vomiting and bradycardia after closed head trauma should invariably prompt concern for significant intracranial injury, yet other less common causes for the clinical picture do exist. This case reports one such scenario in which fracture to the patient's inferior orbital wall resulted in the rare though potentially life-threatening oculocardiac reflex, a vagally mediated phenomenon with possible respiratory, cardiovascular, and gastric motility effects.
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