{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:23:25Z","timestamp":1755221005648,"version":"3.43.0"},"reference-count":3,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background<\/jats:title>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>: <\/jats:title>\n<jats:p>Breakage of the drill bit during craniotomies is quite common; however, penetration of the dura and leptomeningeal layers and dislodging of the broken fragment into the brain parenchyma have not been previously reported.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Case Description<\/jats:title>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>: <\/jats:title>\n<jats:p>This case report demonstrates a unique and challenging complication in neurosurgery involving a 57-year-old male patient who presented with a large hypertensive intracerebral hemorrhage in the right hemisphere, and intractable intracranial hypertension was taken to the operating room to perform a right decompressive craniectomy and evacuation of intraparenchymal hematoma. During the craniotomy using a disposable, footed B1 drill bit, the drill bit broke and was not found during the surgery. Following the surgical procedure, the routine postoperative computed tomography scan revealed a dislodged drill bit fragment deeply embedded within the frontal lobe parenchyma. The patient was taken again to the operating room. Under fluoroscopy guidance, the drill bit was extracted successfully.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st5\">\n<jats:title>Conclusion<\/jats:title>\n<\/jats:sec>\n<jats:sec id=\"st6\">\n<jats:title>: <\/jats:title>\n<jats:p>We present this unique case as it can be encountered in daily neurosurgical practice and present our recommendations for management and prevention of such a rare complication, which can be helpful to other neurosurgeons.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_416_2025","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T06:59:55Z","timestamp":1754636395000},"page":"333","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Drill bit breakage with tip dislodgment deep into the brain parenchyma: A unique craniotomy complicat\u0131on"],"prefix":"10.25259","volume":"16","author":[{"given":"Mohammed","family":"Aladdam","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Ali","family":"Kahraman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammed Emin","family":"Aksu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Sabri","family":"G\u00fcrb\u00fcz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"10.25259\/SNI_416_2025\/ref-1","first-page":"e19706","article-title":"Removal of broken cannulated drill bit","volume":"13","author":"Al-Kharouf","year":"2021","journal-title":"Cureus"},{"key":"10.25259\/SNI_416_2025\/ref-2","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1054\/jocn.1999.0733","article-title":"Penetrating injury of the brain by the burr of a high-speed air drill during craniotomy: Case report","volume":"8","author":"Ito","year":"2001","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_416_2025\/ref-3","first-page":"124086","article-title":"Broken drill bits during surgical procedures: A review of 156 patient safety events","volume":"6","author":"Sanchez","year":"2024","journal-title":"Patient Saf"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/drill-bit-breakage-with-tip-dislodgment-deep-into-the-brain-parenchyma-a-unique-craniotomy-complicaton\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/drill-bit-breakage-with-tip-dislodgment-deep-into-the-brain-parenchyma-a-unique-craniotomy-complicaton\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T06:59:56Z","timestamp":1754636396000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/drill-bit-breakage-with-tip-dislodgment-deep-into-the-brain-parenchyma-a-unique-craniotomy-complicaton\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,8]]},"references-count":3,"alternative-id":["10.25259\/SNI_416_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_416_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8,8]]},"article-number":"333"}}