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January 1952


Author Affiliations

University Hospital, Ann Arbor, Mich.
From the Section of Neurosurgery, Department of Surgery (Dr. Schneider), and the Department of Ophthalmology (Dr. Henderson), University Hospital.

AMA Arch Ophthalmol. 1952;47(1):81-85. doi:10.1001/archopht.1952.01700030084010

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We wish to report an interesting case of penetrating wound of the orbit with subsequent communication between the carotid artery and the cavernous sinus. It will be noted that extensive intracranial damage resulted, even though the original wound was slight and immediate ophthalmological and neurological changes were lacking. The ensuing neurological pattern was confusing and was clarified only at autopsy.

H. W., a Negro aged 27, was admitted to the University Hospital in an intoxicated state at 5 a. m. on Nov. 11, 1950, having been stabbed a few hours previously with a sharp instrument at the outer border of the left eyebrow. Examination in the emergency room revealed a superficial, irregular laceration ¾ in. (1.9 cm.) long, which seemed to be a minor injury, and it was very nearly decided to send the patient home. However, after some deliberation, he was finally admitted to the ophthalmology service for observation.

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