FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 10-YEAR-OLD girl presented to the ophthalmic clinic with deviation of the left eye and constant maxillary pain. One month earlier she had had an accident, with trauma to her face, that resulted in a heavy nose bleed. Her medical history was otherwise unremarkable. Physical examination revealed a generally well child with an obvious displacement of the left orbit. She had tenderness over the lower orbital ridge and maxilla and double vision on downward eye movement. The findings of the rest of her cranial nerve examination were normal.
Weir J, Harris N, Sergi C. Pathology Quiz Case. Arch Otolaryngol Head Neck Surg. 2003;129(12):1345. doi:10.1001/archotol.129.12.1345