In this rare injury, although there was a considerable quantity of clotted blood at the base of the brain, there was no wound to the eyeball nor to the brain itself.
Pepper records a case in which a knife was thrust through the spheroidal fissure, wounding a large meningeal vein, causing death from intracranial hemorrhage.

Nelaton describes an instance in which the point of an umbrella wounded the cavernous sinus and internal carotid artery of the opposite side, causing the formation of an arteriovenous aneurysm which ultimately burst, and death ensued.

Polaillon saw a boy of eighteen who was found in a state of coma.

It was stated that an umbrella stick had been thrust up through the roof of the orbit and had been withdrawn with much difficulty.

The anterior lobe of the brain was evidently much wounded; an incision was made in the forehead and a portion of the frontal bone chiseled away entrance being thus effected, the aura was incised, and some blood and cerebrospinal fluid escaped.
Five splinters were removed and a portion of the damaged brain-substance, and a small artery was tied with catgut.