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Mark A. MacLean, Karim Mukhida, Jai J. S. Shankar, Matthias H. Schmidt and David B. Clarke

rare and has been limited to case reports. 13 , 28 Various penetrating objects have been described, including knives, nails, scissors, wood, pens, chopsticks, spears, and metal rods. 13 Survival Following PHI With Brainstem Injury We report the first case of brainstem-traversing PHI with complete functional recovery. Sixteen other cases of survival following imaging-confirmed brainstem-traversing injury have been reported: 14 involving the pons and 12 penetrating via a transorbital route. 2 , 3 , 10 , 11 , 14 , 15 , 20–26 , 29 , 30 Low-velocity, nonmissile