Well what you should be able to do and what you can do don’t seem to work. And, 
I found out that this is a known bug that plagues some folks back in to Lion. 
So here’s the fix, and it did work for me at least.
You create a message rule. If all conditions are met, all attachments 
containing “.” mark as read. This apparently forces Mail to acknowledge that 
there was an attachment. It marks the message to a different color, you could 
do any color change and it will work, and the little paperclip icon reappears. 
That’s what’s missing. It’s not a VO issue at all. Sighted people are having 
the same problem. But I’ve now got easily accessible attachments all over the 
place like I used to have in Mountain Lion. 
It took a few times for me to get the rule correct. The attachment name is a 
period surrounded by quotes BTW since that probably didn’t read for you if 
punctuation is limited.
My problem was that sometimes I didn’t even know if there was an attachment for 
sure. Now the attachment icon has reappeared and I’ll know. As I said, my 
sighted co-worker is experiencing the same thing and will apply this fix as 
well. apple needs to apply it, LOL.

On Nov 22, 2013, at 1:06 PM, Cheryl Homiak <[email protected]> wrote:

> You should always be able to save with save attachments in the file menu even 
> if you can't open it. Be sure to go down below "save" to "save attachments". 
> As for opening rather than saving, if you interact with the text and move 
> very slowly, you can often, but not always, get on the attachment. Then 
> usually it's now better to do vo-shift-m for the context menu and choose open 
> from that instead of vo-space. This doesn't always work though and to 
> compound matters, I find that people's attachments are placed close together 
> or so near other text that it is hard to get focus on it. Also it may say 
> "attachment image" which I think is different than what it said in Mountain 
> Lion, but you should be able to open it or at least save it with "save 
> attachments"
> 
> -- 
> Cheryl
> 
> May the words of my mouth
> and the meditation of my heart
> be acceptable to You, Lord,
> my rock and my Redeemer.
> (Psalm 19:14 HCSB)
> 
> 
> 
> 
> 
> On Nov 22, 2013, at 2:28 PM, Ray Foret Jr <[email protected]> wrote:
> 
>> Did you check your file menu?  That’s the only way that works for me.
>> 
>> 
>> Sent from my Mac, the only computer with full accessibility for the blind 
>> built-in!
>> 
>> Sincerely,
>> The Constantly Barefooted Ray, still a very happy Mac and Iphone 5 user!
>> 
>> On Nov 22, 2013, at 2:13 PM, Deb Lewis <[email protected]> wrote:
>> 
>>> Well I’m definitely  having problems with this very thing. I know there’s 
>>> an attachment. I can see it on the iPhone and in Windows, and in the 
>>> headers of the message when I’m on the mac. but nothing will open it. Save 
>>> attachment is dimmed, Look is dimmed. the context menu has no attachment. 
>>> But as I said, I know it’s there because every other device in the world 
>>> sees it and opens it. This is just an impossible situation so far.
>>> It’s in the headers so I do know it’s here.
>>> 
>>> Deb
>>> 
>>> On Nov 19, 2013, at 12:38 PM, Sharon Ballantyne <[email protected]> wrote:
>>> 
>>>> Hello,
>>>> 
>>>> I know I wrote last week but I still cannot open attachments since 
>>>> upgrading to Mavericks.
>>>> 
>>>> Prior to upgrading I could use quick look using command y. This would 
>>>> allow me to open or save the attachment as I chose.
>>>> 
>>>> Now using command y does not seem to be able to get focus. Even if I have 
>>>> tried to save the attachment, I get a message of no items found.
>>>> 
>>>> I really need to figure this out.
>>>> 
>>>> I also would like help with isolating attachments if more than one 
>>>> attachment is attached.
>>>> 
>>>> Any help would be greatly appreciated.
>>>> 
>>>> Thank-you
>>>> 
>>>> Sharon
>>>> 
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