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Penetrating head trauma injury with an excellent outcome
  1. Rui Ramos1,
  2. Cristiano Antunes1,
  3. Maria João Machado1,
  4. Rui Almeida2
  1. 1 Department of Neurosurgery, Hospital de Braga, Braga, Portugal
  2. 2 Department of Neurosurgery, Hospital de Braga, Pituitary Tumours Group, Braga, Portugal
  1. Correspondence to Dr Rui Ramos, ruimramos{at}

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A 55-year-old man was found at his workplace with a metal drill penetrating the midline of the posterior region of the sagittal suture. His Glasgow Coma Scale (GCS) was initially 9, but his condition deteriorated and required endotracheal intubation. CT of the brain showed that the drill had taken an intracranial course, from the transition of the middle to the posterior third of the superior sagittal sinus, crossing the right parietal and temporal lobes, and ending in contact with the tentorial surface of the cerebellum (figures 1 and 2). He underwent emergency surgery to remove the drill. The operation revealed …

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