A 53-year-old patient suffered an impalement injury with a metallic drill, which had penetrated his neurocranium.

A 53-year-old patient suffered an impalement injury with a metallic drill, which had penetrated his neurocranium. The patient had tried to commit suicide, injuring himself in the thorax and head (Fig.6a, b). MDCT imaging displayed the position of the impacted drill, which had entered the skull at the front temporal cortex, and there was also an injury of the lung parenchyma ( not shown ). Following immediate thoracotomy to stabilize the patient, the drilling device was completely removed by osteoclastic trepanation (Fig 6c).However, the patient subsequently died due to increased cerebral edema and severe damage to the brain parenchyma.

a and b ) Frontal and lateral skull radiographs showing a radiopaque foreign body penetrating intracranially. ( c ) Postoperative image of the metallic drill.
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