title: The oculocardiac reflex may mimic signs of intracranial hypertension in patients with combined cerebral and ocular trauma.
abstract: BACKGROUND
  In the setting of head trauma, progressive bradycardia may raise suspicion for intracranial hypertension, especially when accompanied by pupillary abnormalities or systemic hypertension.
  
  
  METHODS
  We describe the case of a patient with concomitant cerebral and ocular trauma who presented with a fixed and dilated pupil and progressive bradycardia due to an oculocardiac reflex.
  
  
  RESULTS
  The oculocardiac reflex is an unusual cause of bradycardia due to stimulation of the ophthalmic division of the trigeminal nerve and has been described in a variety of clinical settings.
  
  
  CONCLUSIONS
  Clinicians should be aware that the oculocardiac reflex might mimic signs of intracranial hypertension in patients with combined facial and cerebral trauma.
authors: Department of Neurology, Hospital of the University of Pennsylvania, University of Pennsylvania, Philadelphia, PA 19104, USA. joshua.levine@uphs.upenn.edu
authors: Joshua M
authors: JM
authors: Levine
authors: Esther
authors: E
authors: Bisker
authors: Steven L
authors: SL
authors: Galetta
authors: Monisha A
authors: MA
authors: Kumar
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