A mysterious temporal penetrating head wound without fracture

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Article describes the diagnostic evaluation and medical course for a patient who sustained an accidental low-velocity penetrating head wound through the soft tissue of the temporal region. The lesion resulted in a deep intra-cerebral hemorrhage, after the initial assessment revealed no evidence of skull fracture, missile, or missile track. This is the first case in medical literature of a brain injury by an object that penetrated the calvarium at low velocity but did not produce a fracture of the skull.

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