Oh, what a joyous day in the world of rare medical phenomena! We’ve stumbled upon a case that’s as uncommon as a unicorn sighting – a Low-velocity penetrating brain injury (LVPBI). Yes, folks, that’s when something decides to take a detour through your skull. Our star of the show? A 29-year-old female who had a close encounter with a dense, plastic spike. How it got into her right orbit and midbrain, the story doesn’t tell, but one imagines it wasn’t on her to-do list.

Now, in the grand tradition of medical science, we did what any self-respecting team would do: we scanned her with a CT and did some angiography, because, you know, we can. And then – hold your applause – we carefully removed the object. Because rushing in a situation like this? Totally overrated. Post-op, we threw in some antibiotics and antiepileptics, because why not? And voilà, she was out by day 5, with just a smidge of left-sided weakness to remember us by.

But wait, there’s more! We dove into the annals of history (well, the past 20 years) to see what other LVPBI shenanigans we could find. Turns out, 55.2% of these party crashers were accidents. Who knew? And surgery? A whopping 43.4% got a craniotomy, while 22.8% had a bit of their skull temporarily removed. But here’s the kicker: only 13.5% of these daredevils didn’t make it. And a mere 6.5% caught an infection.

So, what have we learned from this treasure trove of LVPBI cases? Well, aside from the fact that it’s a mouthful to say, it seems we’re getting a clearer picture of how to not let a foreign object in your brain ruin your week. And with each thrilling case report, we inch ever closer to the dream: a world where we have cohesive guidelines for dealing with things stuck in places they shouldn’t be. Onward, to a brighter, less punctured future!