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missile wounds, stab wounds, motor vehicle and occupational accidents (nails, iron rods) or assaults
(screw-drivers). Penetrating head injuries caused by screw-drivers constitute only a small part of the total
number of traumatic head injuries seen in casualty. We report a case of neuro-trauma who was operated in
our institution. A 25 years gentleman presented in casualty on with a screw-driver penetrating into the
skull, as an unusual case of violence.
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