Figure 2. Follow-up brain magnetic resonance imaging (16 days after injury). The penetrating route is marked by the red arrows. (A) Axial post-contrast T1-weighted acquisition showing the proximity of the foreign object penetrating through the Meckel’s cave (cf. cranial nerve V1 injury) with the C4 portion of the left internal carotid artery (white arrow) inside the cavernous sinus (white asterisk). (B) Coronal T2-weighted acquisition pointing at the “punched hole” lesion in the upper left part of the pons. (C) Axial susceptibility-weighted imaging (maximum intensity projection) depicting subtle hemorrhagic changes alongside the posterior fossa parenchymal portion of the penetrating route (left upper part of the pons and superior part of the left cerebellar hemisphere accounting for the left kinetic cerebellar syndrome).