Penetrating orbitocranial injury with a good aesthetic and functional outcome

A 33-year-old man victim of a knife attack without obvious brain or ophthalmological lesions. The knife entered the medial aspect of the orbit. Neurological examination was normal and computed tomographys (CT) scan showed intracranial trajectory through the orbit to the frontal horn of the lateral ventricle. The knife was extracted without complications and  spectacular improvement in visual acuity and no neurological or occulomotor deficit at long term evolution. In this case report, we discuss the radiologic diagnosis and surgical management of transorbital orbitocranial injury by foreign body penetration.