Case Reports
doi: 10.1097/PEC.0b013e3181ce30d8.
Orbital trauma, bradycardia, and vomiting: trapdoor fracture and the oculocardiac reflex: a case report
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- PMID: 20145507
- DOI: 10.1097/PEC.0b013e3181ce30d8
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Case Reports
Orbital trauma, bradycardia, and vomiting: trapdoor fracture and the oculocardiac reflex: a case report
Pediatr Emerg Care.
2010 Feb.
Abstract
The 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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