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FIG. Computed tomographic images of the patient (a) Axial and (b) sagittal images showing bilateral near-parallel haemorrhagic penetration tracts extending from bilateral inferior frontal lobes posterosuperiorly to the basal ganglia. (c) An axial image showing right caudate and left lentiform nuclei involvement. (d) A reformatted image showing a tiny bone fragment (arrow) superior to the left orbital roof, indicating fracture. (e) Chopstick trajectories were recreated by extrapolating the course of the linear haematomas (a)

Self-inflicted transorbital brain injury by chopsticks in a patient with acute psychosis