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Case Reports in Medicine
Volume 2012, Article ID 382605, 4 pages
Case Report

A Unique Case of Asystole Secondary to Facial Injury

1Division of General Internal Medicine, Baystate Medical Center, Springfield, MA 01199, USA
2Ophthalmology Department, New York Eye and Ear Infirmary, NY 10003, USA
3Division of Cardiology, Baystate Medical Center, Springfield, MA 01199, USA

Received 27 September 2011; Revised 18 November 2011; Accepted 23 November 2011

Academic Editor: Dianne L. Atkins

Copyright © 2012 Siddharth A. Wartak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Bradycardia has been reported during intraoperative settings of craniofacial, cerebropontine angle and trigeminal ganglion surgeries (Schaller et al. (2009, 1999); Parbhakar et al. (2009); Koerbel et al. (2005); Roberts et al. (1999)). It is also commonly seen in children undergoing orbital and maxillary fractures repair. This mechanism has been described as the trigeminocardiac reflex (TCR) (Schaller et al. (2009, 2004); Kim et al. (2000); Lang et al. (1991); Van Brocklin et al. (1982)). We report an unusual case of posttraumatic bradycardia and recurrent asystole in a previously healthy adult patient from possible TCR in the absence of any surgical intervention to the head and orbital area.