Hack KM, Pedersen R
Mental Status Changes and Bradycardia: Don't Forget the Eye! Traumatic Hyphema Can Mimic Increased Intracranial Pressure. [JOURNAL ARTICLE]
Clin Pediatr (Phila) 2008 Oct 2.
A 20-month-old with a traumatic hyphema presented with mental status changes, emesis, and bradycardia. After imaging excluded intracranial pathology, these symptoms were determined to be secondary to increased intraocular pressure and the oculocardiac reflex. Complete resolution of symptoms followed surgical drainage of the hyphema. This autonomic response to increased intraorbital pressure is important for clinicians to recognize as traumatic hyphema is a common ocular injury in the pediatric population.
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